How Is It Treated
Since most men will still experience pleasure when orgasming, it may not pose a problem for everyone. Theres no one way to treat dry orgasms. Treatment will depend on the underlying cause.
If, for example, youre dealing with dry orgasms because you take tamsulosin , your ability to ejaculate normally should return after you stop using the medication. If your dry orgasms are situational and related to psychological stress, counseling could help you work through your problems to restore normal function.
If your dry orgasms are caused by retrograde ejaculation, your doctor may prescribe medication to help keep the bladder neck muscle closed during climax. These include:
- midodrine
Is A Prostate Massage The Same Thing As Trying For A Prostate Orgasm
Yes. If you massage the prostate in a way that feels good, youre probably going to have an orgasm if you keep at it.
Some doctors recommend prostate massage therapy to help relieve the symptoms of certain conditions, such as painful ejaculation prostatitis.
Yep! Though evidence on the efficacy of prostate massage for certain conditions is somewhat limited, it does appear to have some benefits.
Premature Ejaculation: Causes And Treatments
Premature ejaculation is when the man ejaculates within a minute of vaginal penetration or, more generally, when he ejaculates sooner than he or his partner would like. PE occurs in about 30 percent of men and is the most common type of ejaculatory dysfunction. Most cases of PE are treatable.
Causes of premature ejaculation are erectile dysfunction, anxiety, heightened sensitivity and neurological problems.
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How Do You Achieve A Prostate Orgasm
As with any new sexual activity, learning how to have a prostate orgasm takes preparation and practice. Here are some expert-approved tips, techniques, and other important things to know.
Learn where your prostate is.
If youre new to anal play, the first step is finding your prostate. The walnut-sized gland is located underneath the bladder and in front of the rectum, and you can stimulate it by putting fingers or toys about three inches into your butt.
Try it on your own first.
Kenneth Play, sex educator and creator of the Sex Hacker Pro Series, suggests experimenting with yourself before trying with your partner. I recommend masturbation rather than partner play to start this exploration because you have a direct feedback loop,” he says. “Without having to instruct someone else or worry about being comfortable, things are much simpler and more effective.”
Know that there are two ways to achieve a prostate orgasm: through internal and external stimulation.
Now, we know you might be scratching your head in confusion, wondering how there can be an external prostate orgasm when the prostate is located inside your anus. But heres a quick bio lesson: an external prostate orgasm is when you stimulate your prostate externally, by applying pressure between your anus and your testicles, Saynt explains . No insertion required.
Internal orgasms, on the other hand, involve massaging your prostate .
Massage your perineum.
If you’re going up the butt, clean out beforehand.
What Have I Learned By Reading This
You learned about:
- Why prostate cancer treatment can cause erectile dysfunction
- What can be done about erectile dysfunction
- How erectile dysfunction may affect your sex life
- What your partner can expect
If you have any questions, please talk to your doctor or health care team. It is important that you understand what is going on with your prostate cancer treatment. This knowledge will help you take better care of yourself and feel more in control. It will also help you manage any side effects you may have from your treatment.
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The Relevant Case Study
The subject was a 63-year-old, medically qualified male in good physical health with a good libido and a normal prostate on digital examination. He experimented initially with an Aneros helix prostate stimulator for prostatic massage to relieve symptoms from an episode of prostatitis. He rapidly became highly orgasmic with the device after only a few hours of use, spread over several occasions. He also had a course of the PDE-5 inhibitor tadalafil 2.5;mg daily which is now licensed for lower urinary tract symptoms in men. His prostatitis symptoms resolved within 2;months of regular Aneros use several times weekly combined with tadalafil. However, he found that the intense orgasms produced by the device were highly addictive and many were subjectively in the Super-O category described above. Despite the device being inserted in the anus and lower rectum, he described the orgasms as being felt in the penis, perineum, and pelvis, similar to a normal male orgasm. When becoming really intense in the Super-O category, he experienced some whole body sensation with some involuntary muscular contracting and shaking. He stopped using the Aneros after about 2;months and attempted to overcome the addiction to the device.
Do You Also Ejaculate When You Have A Prostate
Fred: Sometimes yes, sometimes no. Occasionally Ill shoot when Ive gone through a prostate orgasm, but usually, if I ejaculate, I dont even notice.
Alan: Most of the time I do ejaculate with a prostate-induced orgasm, but the first time I didnt. Its how I learned I could climax without an ejaculation.
Drew: I generally cum from p-spot orgasms, but it’s more drawn out and less of a “shooting my load” type situation. The cum oozes out during the drawn-out orgasm and is usually accompanied by some really lovely spasming of my hole.
Oh boy, do I ever. I have been told on multiple occasions that I need to do adult film work with the amount that I ejaculate when my prostate is stimulated. Fountain, hose, shower, drain spoutjust a few of the words that humans have used to describe my cumshot when something is up my rear end.
Daniel: Many times when I’m enjoying prostate stimulation it’s difficult to keep an erection. I get lost in the waves of pleasure and just lose it. Other times, I can maintain my erection and will masturbate while being penetrated or stimulated. I can time my prostate orgasm with my penile one causing a massive surge of energy and triggering dopamine to leak in my brain.
Dominus: I practice Tantra and can have multiple body orgasms that aren’t ejaculatory, and prostate play can get me to that state. Now if I want to ejaculate at the same time, at my age, this is the only time I really shoot like I did in my teen years.
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If You’re A Gay Or Bisexual Man
To be the active partner during anal sex you normally need a strong erection, so erection problems can be a particular issue. You could try using a constriction ring around your penis together with another treatment like PDE5 inhibitor tablets, to help keep your erection hard enough for anal sex.
If you are receiving anal sex, a lot of the pleasure comes from the penis rubbing against the prostate. Some men who receive anal sex find that their experience of sex changes if they have their prostate removed .
If you receive anal sex, then bowel problems or sensitivity in the anus may be an issue after radiotherapy. Its best to wait until your symptoms have settled before trying anal play or sex. If youve had permanent seed brachytherapy there is a risk in the first few months that your partner might be exposed to some radiation during sex. Talk to your doctor or nurse for further advice.
With all sexual changes you may be able to find ways to work through this.
Watch Martin’s story below for one gay man’s experience.
Watch;other men’s personal stories;about sex after prostate cancer.
Does It Affect Your Fertility Or Lead To Other Complications
If your dry orgasms are infrequent, they may not have a long-term effect on your fertility or result in other complications. Your doctor should be able to provide you with more information specific to your diagnosis and outlook.
Depending on the cause, you may be able to restore your ability to ejaculate naturally using vibrator therapy. Its thought that this increase in stimulation can help encourage typical sexual function.
If youre primarily concerned with your ability to have biological children, your doctor may recommend electroejaculation to obtain semen samples for artificial insemination. It may also be possible to extract sperm directly from the testicles.
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Anejaculation: Causes And Treatments
Anejaculation is when no ejaculation occurs at sexual climax. This can be total anejaculation, occuring always during sexual stimulation, or situational anejaculation, occuring only under certain conditions.
Anejaculation can be primary present from the start of sexual response or secondary, brought about by some acquired condition, such as diabetes or multiple sclerosis.
Situational anejaculation is usually caused by stress and/or psychological issues associated with a particular partner or situation. This may mean the male can ejaculate with one partner but not another, or in one setting but not another, such as in a doctors office to supply a sample.
Total anejaculation may be anorgasmic, meaning the man can never reach an orgasm and ejaculate. Total anejaculation can also be orgasmic, meaning the man has an orgasm but does not ejaculate. Despite the lack of orgasm in anejaculation, the male may still produce semen discharge during sleep.
Reactions to certain medications can cause anejaculation, as can surgical procedures that affect the nerves involved in ejaculation. Most likely, the cause is a psychological issue that may involve upbringing and lack of affection.
Treatment of anejaculation to overcome infertility includes sperm retrieval and placement options through whats known among doctors as assisted reproductive technologies.
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Other Cancer Treatment Effects On Ejaculation
Some cancer treatments reduce the amount of semen thats produced. After radiation to the prostate, some men ejaculate less semen. Toward the end of radiation treatments, men often feel a sharp pain as they ejaculate. The pain is caused by irritation in the urethra . It should go away over time after treatment ends.
In most cases, men who have hormone therapy for prostate cancer also make less semen than before.
Chemotherapy and other drugs used to treat cancer very rarely affects ejaculation. But there are some drugs that may cause retrograde ejaculation by damaging the nerves that control emission.
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The Prostate And Ejaculation
The involvement of the prostate in the mechanisms of ejaculation was first promoted by Marberger . He proposed that the distention of the prostatic urethra by the volume of the entering semen was the trigger for the initiation of the ejaculatory reflex and the theory was called the prostatic pressure chamber trigger concept. This speculative explanation was repeated by a number of authors . Levin reviewed the evidence for this mechanism and found that there were important experimental studies with results against the concept, namely that there are definite occasions where the ejaculatory mechanisms is activated yet no seminal fluids enter the prostatic urethra. Giuliano and Clement , in their review of ejaculation, agreed that the expulsion phase of ejaculation can occur in the absence of urethral stimulation and that the prostatic pressure chamber concept does not definitively identify the ejaculation trigger.
What Does The Prostate Do
The prostate is a male gland that releases;prostate fluid, one of the components of semen.
The muscles of the prostate gland help propel this fluid into the urethra;during ejaculation.
It is a;muscular gland that is often described as walnut or small apricot-sized.
An enlarged prostate can be a sign of prostate cancer, the third biggest cancer killer.
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Evaluation Of Ejaculatory Dysfunction
Asking a patient about his personal history is generally the first step a physician takes in diagnosing and evaluating ejaculatory dysfunctions. This can reveal if the problem has always been present, which may indicate if it is due to a birth defect or to an acquired condition.
Elements of evaluation include:
- Physical exam of the genitalia and testicles for structural problems
- Semen sample for evaluation of sperm presence and health
- Post-ejaculate urine sample if no ejaculate was produced
- Hormonal testing
- Transrectal ultrasound to look for structural problems.
Following are the four different types of ejaculation disorders, along with their causes, symptoms and treatments.
The Brain Rewiring Concept
An obvious question iswhy do prostate orgasms appear more powerful and pleasurable than penile induced ones? Increased body awareness has been linked to increased genital awareness and arousal in women . It is possible that similar heightened awareness occurs in those males who focus on and practice prostate stimulation. Such awareness could enhance the sexual pleasure obtained as modulation of physiological function can occur through changes in mental processes . It is now accepted that the human brain is constantly changing its functional and structural properties depending on the variety of inputs and experiences. This plasticity is thought to be manifest through synaptic reorganization and/or the balance of excitation/inhibition among neurones . The brain literature refers to this as the plasticity of the brain but in lay parlance a common description is rewiring of the brain . Those learning to experience prostate-induced orgasms often use this concept .
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Orgasm After Prostatectomy Is It Possible
You can expect to enjoy sex and orgasm after prostate surgery.
Many men are surprised to find that they even experience pleasurable orgasm without an erection. Keep in mind that your sexual pleasure does not depend on penetration.
Dr. David Samadi says restoring an enjoyable sex life after prostate cancer surgery is in part dependent on prostate cancer treatment and choice.When men and their partners know what to expect, they can accelerate recovery, experiment, and work together. Sex-related activities should be resumed as soon as you are ready but keep in mind some changes are temporary, and some might be permanent, but the bottom line is that all of the problems can be overcome.
Patients that recover from robotic prostatectomy can expect one significant change regarding orgasm, the orgasm without ejaculation. It will feel different but the pleasure part will still be there.
Note that the male orgasm has 3 main components:
Even though the first 2 parts of the orgasm are affected by the radical prostatectomy, the third one that involves brain stimulation and generates the sensation of pleasure still remains.
Treatment Of Premature Ejaculation
Medications, physical therapy and psychotherapy are tools for treating PE. The goal of treatment is to decrease penile sensitivity and increase the patients control over his behavioral responses.
Oral medications can delay ejaculation for many men. Urologists may prescribe one of several medications for men with PE. The choice depends on whether the PE is primary or secondary.
Another medication is a topical lidocaine-prilocaine cream applied to the penis before intercourse to reduce sensitivity and delay ejaculation.
While medications may provide temporary relief, behavioral therapy is the only way to cure premature ejaculation. This can involve sex education to modify behavior and psychological counseling to address such issues as anxiety that may be causing PE. Education can involve relaxation techniques and methods of prolonging excitement without erection or ejaculation.
Behavioral modification involves such methods as:
- Ceasing stimulation when the climax approaches
- Altering stimulation before climax
- Mental distraction from the stimulation
- Other ways to reduce stimulation and delay climax.
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Ejaculation Without Erection: Treatment Options
Medically reviewed by
If youre affected by erectile dysfunction , you probably find it difficult to develop or maintain an erection during foreplay and sex.;
Although ED can affect your ability to have penetrative sex, its still possible to have an orgasm and ejaculate without an erection.
In fact, many men with ED are able to reach orgasm through stimulation even if they can only get a partial erection or cant get an erection at all.
Below, weve explained how its possible to reach orgasm and ejaculate without an erection, as well as the treatment options that are available if youre affected by erectile dysfunction.
Ask Your Doctor About Solutions
Patients should not be shy about discussing intimacy issues;with their doctor. He or she may be able to prescribe medications to help. Certain medicationssuch as sildenafil , tadalafil or vardenafil are typically tried first. But these drugs may not help men achieve an erection if the nerves responsible are not healthy. In fact, the medications only work for a small percentage of men in the first few months after surgery, according to a 2017 study published in the International Journal of Sexual Health.
Besides oral medications for erectile dysfunction, there are other options available to men with ED after prostate cancer treatment, says Dr. Shelfo. These include penile injection therapy, which involves injecting a small amount of medication directly into the base of the penis. That has helped many men achieve erections. Another option is an intraurethral suppository of medication, an external vacuum erection device, or surgery may be performed to implant a penile prosthesis.
While regaining erectile function is not possible for all men treated for prostate cancer, it is important to remember that an erection is just one aspect of a satisfying sex life.;Intimacy;is another major component, one that may become more important as sexual relationships become more difficult after cancer treatment.
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What We Dont Know
While research is promising, thereâs still a lot scientists need to learn. Some things to consider:
- Thereâs no proof that ejaculating more actually causes lower chances of prostate cancer. For now, doctors just know theyâre connected. It may be that men who do it more tend to have other healthy habits that are lowering their odds.
- Ejaculation doesnât seem to protect against the most deadly or advanced types of prostate cancer. Experts donât know why.
- Scientists donât know if ejaculation during sex vs. masturbation has the same benefits. Some research has found that the makeup of semen is different for each. For example, semen during sex has higher levels of sperm and some chemicals. Itâs possible that these could make a difference in a manâs odds of having prostate cancer.
- Not all studies have found a benefit. The 2016 study got attention because of its size and length . But some smaller studies have not shown the same good results. A few even found that some men, specifically younger men, who masturbated more had slightly higher chances of prostate cancer. Some researchers wonder if a manâs age may affect whether more ejaculation helps.