HI. after having PC and been through the treatment and 2 years of prostap, i am unable to get an erection and if i did, i couldnt keep it, unable to penetrate and i also have dry orgasms, this is so frustrating, i would like to know what other means i have to accomplish an erection and keep it. i had the snip over 20 years ago but was able to produce semen, now i do not. can you help ?.
Hi Manchi
Welcome to the Online Community here at Macmillan. My name is Vanessa and I am one of the information nurses.
I see from your profile that you have joined our online forums. I hope you are finding those helpful. Many people find the peer support of others in similar circumstances reassuring to have.
I’m sorry to hear you are having problems with erections and orgasms after your treatment for prostate cancer.
Unfortunately, many of the treatments used can cause erection problems and reduce the amount of semen produced. For some treatments these side effects may improve once treatment finishes, but this is not the case for all.
There are however a variety of treatments for erection problems.
Dry orgasms are more difficult, and treatment tends to focus on reversing potential causes.
From the information I have looked at it seems that treatment for erection problems will have no impact on dry ejaculations. I am unable to link this information but have pasted it below:
Dry ejaculation – Prostate cancer survivors should be warned that they may experience lack of ejaculation (anejaculation, or "dry" ejaculation) at the point of orgasm. While this is an immediate side effect after surgery, it may occur later over several years after RT [44,45]. Clinicians and patients should be aware that treatments for ED will have no impact on dry ejaculation. (Up to Date: Accessed Jan 2024)
We would always advise you to discuss your concerns with your nurse specialist, consultant, or GP as they will be able to explore what treatment may be available for you.
You may find this a difficult topic to raise but please be assured the health care professionals will be well used to this type of discussion. There are also some tips on raising this subject here.
Prostate Cancer UK also have a sexual support service. This service can help you explore your current symptoms and potential treatment options.
I hope you find this information helpful. You can also always call one of our nurses directly if you want to talk over your concerns or require any further support.
Take care
Vanessa G, Cancer Information Nurse Specialist
You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email.
Ref VG/BG
