Anorgasmia

[oldbeek]

I and others have found if we don't masterbate and watch porn for a week or more, I can orgasm while having sex with my wife. It takes about 4-5 minutes of pumping. Anal is not allowed but a lubricated thumb rubbing her anus is enough erotic stimulation to get me off. Yes RP damages a lot of nerves. All my nerves were removed so I miss a lot of stimulation. My glans and penis has 0 blood flow going to it. Anorgasmia and climatura don't affect enough guys to have a separate section within implants.

[frwmw1]

BL, I'm not an implantee, gonna ask a basic question, if you don't mind, you've checked your testosterone levels?

[vajim1]

testosterone supplements are a no no for prostate cancer guys for a least ten years of no recurrence.

[MK1965]

testosterone supplements are a no no for prostate cancer guys for a least ten years of no recurrence.

You just gave false statement.
MK

[oldbeek]

testosterone supplements are a no no for prostate cancer guys for a least ten years of no recurrence.

. That is based on a very poor study done in 1946. I don't know why it persists. Read Dr John Mulhall of John Hopkins. He explains how flawed that study was. There are practices in LA that administer T to combat low levels of PC. PC lives on as low as 0 to 200 T. If you don't use ADT to drive T to absolute 0, you are wasting your time lowering T. There is no danger in raising T. More T does not mean more PC. There is more danger to your body by having low T than the danger of returning PC. Why don't young guys get PC??? Because they have high T.
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[bldoink]

My current urologist also says no T shots. There is at least some dispute on the practice. My cancer was in the margins so I supposedly remain at higher risk. Last year I did have one PSA that show a jump from near zero but the next went back to near zero.

[barrylandon]

frwmw1...In answer to your question, I just got back the results of my recent lab tests and it included a test for total testosterone. According to Harvard Medical, for a man my age (73), the normal testosterone range is 156-819. My total testosterone was 865!! Obviously, we can check that one off as the cause for my anorgasmia at 9 months post implant surgery.

[vajim1]

My PA and urologists just told me NO T therapy. PA said never and my urologists said 10 years and some times can be seven years if psa remains near zero. With the VA that is less than .13.

[merrix]

Barry, I'll throw in a suggestion worth checking up.
But first, I'll say that my experience was basically the opposite.
I often (maybe 2-3 times out of 10) struggled to orgasm with my pre-implant ED dick.
I often ended up finishing my intercourse with a semi. That made it very hard for me to orgasm.
Probably both because of the semi, but also because of the mental stress of feeling the erection fading away.
With my implant, I have no problem to orgasm - unless one hormone is out my sweet spot.

I have been on TRT since a couple of years before implant. My T, was tested for the first time two and a half years before implant, it was just below 300. I have read there are theories about low T causing Venous leak, but have no evidence this was the root cause of my problems. I also don't know if my low T was always there or if it struck me later in life. Most people would probably never guess my T was ever low, but apparently it was.
Anyway, I am on a sensible protocol and keep my T at around 500-800. Even though you are considerable older than me and not on TRT, your T is higher!
However, what I have learned, and this is for 100% sure, is that as soon as my Estradiol gets just a tiny bit elevated - I can't orgasm. I get horny, I would say even more horny than when my E is where it should be, but I just can't orgasm.
My sweet spot is an E of 20-30 pg/ml (74-147 pmol/L). If I stay below 35 pg/ml (129 pmol/L) I'll still be ok most of the time. If it gets too low, I won't have orgasm issues, but I'll feel other negative side effects. Tired and achy joints.
But when it gets higher than the range mentioned above, I am fucked. I just can't orgasm. I can fuck like a maniac for an hour, but I won't even get close to orgasm. I just have no sensitivity. I'll also sweat like crazy if my E gets too high. But most of all, I just can't come.
E in a man is mostly from conversion of T. Higher T equals higher E. So taking exogenous T will raise E. But higher endogenous T will also, all else equal, mean higher E.
E is aromatized to T in fat cells. So more fat, more conversion of T to E. As we get older, we tend to see decreasing muscle mass and increased fat mass. Perhaps your problem is too high E.
If I was you and reading this, I'd ask why my E suddenly would get higher with the implant. Of course it doesn't. But maybe your E was elevated already then, but you could still orgasm. Maybe your doc messed some sensitivity up with the implant surgery, and that your slightly elevated E level combined with the lowered physical sensitivity pushed you over your limit.
For me, this is easily taken care of with a tiny dose of Arimidex (Anastrozole). It comes in 1 mg pills. Tiny little fuckers. I still cut them in quarters and take 2 of those quarters per week, e.g. Monday and Friday. I.e. a total of 0.5 mg per week divided in two doses. That's all I need. And the difference is immense. Without them I sometimes just absolutely no way can come. I take one quarter of a pill and the next day, problem completely gone. Sensitivity and orgasmic ability back.

So why not ask for a test of Estradiol and see where you are. If you are anything like me, and if your E is higher than 30 pg/ml, ask your doc to prescribe you Arimidex. Try my dosing to start with and see what happens. Be careful though, as too low E is very unhealthy. It is associated with several health issues. One is heart issues, others, as said, are joint pain and fatigue.
One theory growing popularity is that high E contributes to PC. Not actually high T, but high E. As said in a post above, if high T was the cause of PC, then why don't we see teenagers with PC? Because it isn't the high T. It's the high E which comes with increased converson of T to E, which comes with increased fat mass, which comes with age.
And Arimidex is a powerful drug. Just a tiny bit too high dose will crash your E completely and will do more harm than good. I have also understood from reading up that the right dose of Arimidex is very individual. Some men can take 1-2 mg/w and get their E right in the sweet spot, while some crash it on a much lower dose. Start low and try your way forward to the right level for you.

While on the subject, I'll also say that to those on TRT that you should make sure you choose a T protocol which keeps your T level stable. That will make Arimidex dosing and E control much easier. If you are on e.g. Nebido (slow ester taken roughly every 10 weeks), your T will range from >1000 the week after your shot down to <300 the day before your shot - and managing your E will be a nightmare. You would have to adjust your Arimidex dosing as the weeks pass by during your cycle. Very difficult to get right.
Also, if you're on weekly shots of T-Propionate or T-Enanthate, switch to T-Cypionate which has a longer half life and will give you less range swings. And just totally forget the bi-weekly intervals. That will give you supraphysiological ´levels right after the shot and then you'll be T-deficient again right before the shot. And consequently, your E will follow the same roller coaster.
I inject a tiny dose of T-Cypionate sub-q every day. Yes every day. A bitch, but makes me feel so much better and lets me control my E very easily. No swings of neither T or E. Just a stable level at the sweet spot. Gel would also work. Daily swings are ok, but weekly or bi-weekly swings are not. Not to mention 10-weeks interval swings from Nebido... However, gel is known to have higher E conversion than sub-q injections. Intramuscular T-shots are also causing higher E conversion than sub-q. And while on Gels, they will also convert more to DHT than IM or Sub-Q injections. DHT is nice because it makes you horny, but it also makes you bald and arguably fucks your prostate up.

Finally, you should also check Prolactin, as a level out of range can and most often will cause sexual issues.

Good luck.

[Waynetho]

Finally, you should also check Prolactin, as a level out of range can and most often will cause sexual issues.

Merrix, just a note, he did comment that he tried Cabergoline to no avail which works on lowering Prolactin, although just as with me, I don't think he got a lab assessment of his Prolactin levels either before or after trying Cabergoline. Even with very low levels though there has been some anecdotal evidence that Cabergoline will still help, although with the two of us there has been little if any help in that department (although it has given me the ability to still have interest after I DO orgasm (by hand).