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Can You Have An Erection Without Prostate

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What Would You Tell Men Who Are Opposed To Having Things Put In Their Rear End

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Fred: Without being too forward or rude, just grow up and give it a go. The stigma around it is so incredibly strong, mostly because it goes against the masculine trend of only putting your dick in things, but seriously itll change your life. Youll never wanna orgasm any other way again.

Alan: While its certainly valid and not everyones favorite cup of tea, the sensations offer a wider range of pleasure to bring into the bed with yourself or with your partner. If you are searching for something new to try, this is a sensation that all people with a prostate can enjoy.

Evan: I would say to men who are reticent to put things up their ass that they are probably fearful because of societal pressures/expectations. They need to look at their prostate as an important part of their body and sexuality to explore.

Drew: I would say you’re really missing out! Take some time to reflect on why you’re not open to exploring this amazing pleasure center. Does it rub up against your ideas of masculinity and what it means to be a man? Do you have anxiety related to the other fluids and substances that might be down there? Are you afraid of exploring this with your partner and what they might think? If any of these are coming up I would recommend starting small and solo: small size toys, or preferably your own finger. The prostate is a gift, celebrate and cherish it!

*Name has been changed to allow subject to freely on private matters.

How May Erectile Dysfunction Affect My Sex Life

Most men find that their sex life is different after prostate cancer treatment. Some men question their manliness when they cannot have an erection or find that they are not interested in sex. This can happen even if you are not currently in an intimate relationship. You may find this upsetting. Even if one of the medications or erection aids is helpful, having sex using these things may take some getting used to. It may not feel entirely natural. You can talk with your doctor or healthcare team about these feelings. Counseling may also help.

If you have an intimate partner, it is important for you to talk to your partner about how you are feeling. There is an old saying that a problem shared is a problem halved. Not everyone wants a sexual relationship. Dont try to guess or assume what your partner wants. Have an open and honest discussion with your partner.

This may seem unnecessary in long-term relationships as people tend to assume they know all there is to know about their partner but this is not always the case. With time, you and your partner may be able to find satisfying ways to have a sex life even though you have erectile dysfunction. Your partner will also have concerns about your sex life as well as concerns about your health. Talking about your feelings is very important during this time.

Avoiding High Blood Pressure & Cholesterol

Health issues like high blood pressure and cholesterol can affect the flow of blood to the penis. Moreover, the vessels in your manhood are a lot smaller and more narrow than the ones in the rest of your body. Therefore, erectile dysfunction is often the first sign of excessive blood pressure or cholesterol.

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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.

Arousal Orgasm And Ejaculation

Penis to Prostate: A Guide to Internal and External Pleasure

Arousal is more than just a physiological experience, explains Dr Fox.

“The biggest misconception is an erection means a man is ready for sex,” he says.

“An erection simply means a man has an erection; you can have one for many reasons other than being sexually aroused.”

A person with a penis can feel turned on without an erection, and even orgasm and ejaculate.

Mr Tilley says the person will need to feel highly stimulated and aroused and have the motivation to achieve one or both.

“It’s important to distinguish the difference between orgasm and ejaculation.

“We can think of ejaculation as the expulsion of semen from the penis, whereas an orgasm may entail this but is also best thought of as a mixture of physiological and psychological responses.”

He says things that we typically associate with orgasm are euphoria and a heightened state of intense pleasure.

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What Causes Prostate Enlargement

Multiple factors cause prostate enlargement. Documented causes include specific medications, some of which are commonly used for prostate problems, as well dietary issues, disease processes, and hormonal imbalances.;

Nutritional and dietary issues are known to be common causes of BPH. A diet heavily laden with animal fat is one of the most significant causes. Foods known to have high levels of animal fat include red meat and dairy products.

Aside from BPH, a diet high in animal fats is also known for causing cardiac problems and diabetes. Increasing epidemiological evidence suggests that these foods significantly increase the risk of developing BPH.;

Can Pills Improve Erectile Function

Millions of men use pills to improve erectile function and get their penis strong and hard. These pills work to inhibit the PDE5 enzyme is the reason behind weak erections . This enzyme doesnt allow nitric oxide to dilate blood vessels to allow blood to reach the penis and fill in chambers for a stronger boner. By inhibiting PDE5, the erection pills will enable you to have a strong and hard penis for mind-blowing sex.

Since these pills can help men who have severe erectile problems, can they help you get an erection without testicles? There is a chance! You see, these pills have improved erectile function in rats after orchiectomy . They work to deliver more blood into the genital area, so the absence of testes doesnt stop that.

Read Also: Perineural Invasion Prostate Cancer Treatment

Achieving Orgasm After Radical Prostatectomy

Men worry about erectile dysfunction after radical prostatectomy, the operation that involves removing the prostate gland as a way to treat prostate cancer.;Its a legitimate concern. Men, their spouses and partners, and their surgeons should talk about erectile dysfunction before and after the surgery. Almost all men will experience erectile dysfunction for several months to a year after a radical prostatectomy, although todays nerve-sparing operation has decreased the number of cases when its permanent.

But orgasm after radical prostatectomy? Its often even not on the radar screen. Dr. Ravi Kacker thinks that should change.

Sometimes orgasm gets forgotten because everyone is so focused on erectile dysfunction, says Dr. Kacker, a urologist and fellow in male sexual medicine at Harvard-affiliated BethIsraelDeaconessMedical Center. But for somemaybe mostmen and their partners, achieving orgasm can be as important as erectionsor even more so for having a healthy sex life.

And, says Dr. Kacker, theres good news.;Orgasms after radical prostatectomy may feel qualitatively different for most men, but they dont need to be any less pleasurable or satisfying.

Medications For Prostate Enlargement

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Typical medications used to treat prostate issues are Finasteride , dutasteride , and tamsulosin . Finasteride and dutasteride are 5-alpha reductase inhibitors that reduce the amount of the 5-alpha reductase enzyme in the blood. This enzyme converts testosterone in the blood into estrogen. High levels of estrogen exacerbate prostate growth and can result in BPH.;

Men with high estrogen levels also tend to develop breast enlargement . Any man who spends a lot of time at the gym has probably noticed older men with enlarged breasts due to a high estrogen level. Enlarged male breasts are an outward indicator, but BPH is most likely also present inwardly.;

Tamsulosin is an alpha-blocker that works by relaxing the prostate and bladder muscles so that urine flows easier.;

Each of these drugs has a profile of severe sexual side effects. Alpha-blockers can lead to difficulty ejaculating, and 5-alpha reductase inhibitors can destroy libido as well as alter the sensation of orgasm or interfere with erections. For example, in several studies, Finasteride has been shown to increase the risk for men with BPH to develop erectile dysfunction.;

Also Check: Prostate Cancer Shortness Of Breath

Pain During Erection Or Ejaculation

Some men find that erections and ejaculating is painful after surgery, or during and after their course of radiotherapy.

Painful erections following surgery could be due to internal bruising caused by the operation. The tube which carries urine from the bladder to the outside of the body ;gets inflamed by the radiotherapy treatment.

This side effect should disappear a few weeks after you finish radiotherapy or as you recover from surgery. Talk to your specialist nurse for specific advice. If masturbation and sex is important to you, its important to keep stimulating the penis to keep it healthy. On the other hand, if erections are very painful, you might need to avoid ejaculation for a while and try again later.

The penile injections to stimulate an erection can cause painful erections in some men. This pain might lessen with continued treatment.

How Important Is Nerve

The short answer is very. All men in these studies had some form of nerve-sparing performed during their surgery so this review was not able to assess the effect of nerve-sparing on subsequent recovery of erections as there was no control group to compare to. Previous studies have convincingly demonstrated the critical nature of nerve-sparing . The decision to undertake nerve-sparing is made in advance by the surgeon and depends on the extent of cancer. Robotic surgery has allowed more precise and meticulous surgical dissection of the surrounding layers of the prostate. Indeed, 80% of UK prostatectomies are now completed with a da Vinci robot, the remainder split evenly between laparoscopic and open surgery. The outer layers of the prostate are a bit like an onion with several layers. The layer containing the nerves is like the brown skin on the onion and the surgeon can choose to cut inside this layer to leave the brown skin in place.

The outer layers of the prostate are a bit like an onion with several layers.;The layer containing the nerves is like the brown skin on the onion and the surgeon can choose to cut inside this layer to leave the brown skin in place.

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Does Enlarged Prostate Cause Ed

Of the many symptoms caused by BPH, one of the most common complaints men have when visiting a urologist is Erectile Dysfunction or ED. This is defined as the inability of a man to attain or maintain an erection sufficient for vaginal penetration and satisfactory sexual performance.

BPH does not directly cause ED, but many men with BPH seek medical attention to relieve ED.;

What Changes Can You Expect

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  • Ejaculation will cease:Without a prostate gland or seminal vesicles, you will no longer experience ejaculation. Even though your orgasm may feel different, it will still be pleasurable.
  • Leaking urine during sex:This is possible but does not happen to all men. Its harmless and temporary.
  • Performance anxiety:Dont underestimate the emotional roller coaster of prostate cancer surgery and recovery. Its normal to worry about sex after prostate cancer. Being open and honest with your partner will help.

Keep in mind that your overall health, age, and present ED status are all factors in your recovery to sex after prostate surgery.

Less commonly, the prostate cancer tumor may bulge to one or both sides of the prostate gland, making nerve-sparing surgery extremely difficult or impossible.

Dr. Samadi will help you understand your exact prostate cancer status and the position and size of your tumor. In some cases, a nerve graft can be performed to regenerate the penile nerves for sex after prostate surgery.

  • Changes in mood and libido:The psychological impact of surgery can be significant; this will leave you tired and irritable, not in the mood for sex so you will need to move towards intimacy slowly and your desire will return back to normal.

Read Also: Va Disability Rating For Enlarged Prostate

Have An Orgasm Every Day

No objections? According to Harvard Medical School’s report Sex and the Prostate, erections are a “use-it-or-lose-it” kind of thing: “Some research suggests that when the penis is flaccid for long periods of time and therefore deprived of a lot of oxygen-rich blood the low oxygen level causes some muscle cells to lose their flexibility and gradually change into something akin to scar tissue. This scar tissue seems to interfere with the penis’ ability to expand when it’s filled with blood.” Another reason to keep skin in the game: Recent research shows that having a daily orgasm can slash the risk of prostate cancer by 20% by flushing out chemicals and old cells; prostate disease is a major contributor to erection problems. Find out more in our exclusive report How to Cancer-Proof Your Prostate!

Why Is There Increasing Concern At This Time Regarding Erectile Dysfunction Issues Following Radical Prostatectomy

The reality of the recovery process after radical prostatectomy today is that erectile function recovery lags behind functional recovery in other areas. Patients are understandably concerned about this issue and, following months of erectile dysfunction, become skeptical of reassurances that their potency will return.

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Is Another Treatment Option Better For Preservation Of Erectile Function

The growing interest in pelvic radiation, including brachytherapy, as an alternative to surgery can be attributed in part to the supposition that surgery carries a higher risk of erectile dysfunction. Clearly, surgery is associated with an immediate, precipitous loss of erectile function that does not occur when radiation therapy is performed, although with surgery recovery is possible in many with appropriately extended follow-up. Radiation therapy, by contrast, often results in a steady decline in erectile function to a hardly trivial degree over time.

Surgery Effect On Ejaculation

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Surgery can affect ejaculation in different ways. For example, if surgery removes the prostate and seminal vesicles, a man can no longer make semen. Surgery might also damage the nerves that come from the spine and control emission . Note that these are not the same nerve bundles that pass next to the prostate and control erections . The surgeries that cause ejaculation problems are discussed in more detail here.

Also Check: What Is The Definition Of Prostate Gland

Sex And The Prostate: Overcoming Erectile Dysfunction When You Have Prostate Disease

If you are concerned about erectile function, its important to understand what erectile dysfunction really is. Failing to have an erection one night after youve had several drinks or even for a week or more during a time of intense emotional stress is not erectile dysfunction. Nor is the inability to have another erection soon after an orgasm. Nearly every man occasionally has trouble getting an erection, and most partners understand that.

Erectile dysfunction is the inability to attain and maintain an erection sufficient for sexual intercourse at least 25% of the time. The penis doesnt get hard enough, or it gets hard but softens too soon. The problem often develops gradually. One night it may take longer or require more stimulation to get an erection. On another occasion, the erection may not be as firm as usual, or it may end before orgasm. When such difficulties occur regularly, its time to talk to your doctor.

Erectile dysfunction can have many causes, including some forms of prostate disease and medications and surgery for prostate cancer. Fortunately, in many cases, this problem can often be effectively addressed. Some men find relief by taking medications to treat erectile dysfunction. If these arent effective for you, a number of other options, including injections and vacuum devices, are available. The possibility of finding the right solution is now greater than ever.

Health Problems That Can Cause Erectile Dysfunction

There are loads of things that can cause erectile dysfunction. Most people tend to think it just has to do with getting older, but there are many other causes for erectile dysfunction. Some of them are:

  • Hypertension
  • Cardiovascular problems
  • Diabetes

Aside from that, ED can also be rooted in psychological issues, such as depression, anxiety, low self-esteem or stress.

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Getting Treatment And Support

Speak to your GP or doctor or nurse at the hospital.

Your GP, hospital doctor or nurse can prescribe treatment for erection problems for free on the NHS, whether it’s for sex or masturbation. There may be a limit on how much treatment they can prescribe, but there is no age limit.

Talking about sex

It can be difficult talking about sex, but talking to your doctor, nurse or other health professional will mean you can get treatment and support. It can also help you feel more positive;and more in control.

You can ask about sexual problems at any stage – before, during or after your prostate cancer treatment. Talking about it before your treatment will mean you know what to expect and can help you to prepare to start treatments for sexual problems soon afterwards.

Your team should ask you about your erections and sex life during your treatment for prostate cancer. But if they don’t then you may need to bring it up yourself.

Not everyone is used to talking about sex. You might need to bring it up more than once, or with a different person in your team. You can also ask to be referred to an expert in sexual problems or an ED clinic – they will be used to talking about sexual problems.

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