Weak orgasms - advice needed

Hi JimmyChoo,

I feel for you, the treatment for this disease can have such a dramatic effect on what is so important to many men…their sex lives. For you, even worse because I assume you still have your libido, although if your mood is low then perhaps that is low is well? Here’s what I would suggest….bear in mind I am not medically trained, just a good listener😊

1. does your NHS trust have an ED nurse. if so, try and get an appointment. If not and you can afford it seek out a specialist privately.
2. Arrange an appointment with the sexual health team on PCUK. I did and they spent some time with me and really helped me come to terms with things.
3. Find ways to improve your mood…here I go again, promoting Maggies, people must think I’m on Commission🤣🤣🤣. If you have a centre near you and go along and find if there any support groups. IMHO there is nothing like talking and listening to men in the same boat as yourself…..they just ‘get it’ and will offer you so much support. The number of men I see that join our group, and come in looking like rabbits in headlights, but go away feeling SO much better. Please don’t think ‘it’s not for me’…maybe it won’t be but you won’t know until you’ve tried it.
Also be GOOD to yourself, give yourself lots of treats and do things that will make you smile or laugh.
Keep as active as you can, I know it’s a struggle at times but it really will help your mood.

Finally if you’re really struggling go and see your GP. When I started on HT I suffered debilitating anxiety and he put me on Sertraline which really helped me get through this.

I wish you all the best.

Derek

After losing my prostate and nerves as part of a bigger surgery I became impotent and before that I had also lost my ejaculation (but not my erections). Unfortunately without my ejaculation my orgasms aren't always good like before. They can range from very good to disappointing (depending if am flaccid or not + mood) but mostly they are disappointing. Before surgery no matter my mood I would always get a "good enough" satisfaction but now this is no longer the case.

Having been made impotent I have tried "shaking the snake" in its flaccid state and some satisfactory orgasms can still be achieved  but mostly not and as a result am generally left unsatisfied and thinking about sex all the time. This has become frustrating.  Now, mind you, my mood is not good as I suffer from mild to moderate depression/sadness because of what has happened to my life and I see no way of ever getting good energy levels. I am always slow and tired and have been like this way before my cancer/surgeries journey however in the past even though depressed I never had orgasm issues. Its only right after losing my ejaculation that the unreliability started and then even more so once I became impotent.

What are the solutions to bring back powerful dry orgasms? For sure low mood doesn't help but anything else? I am single so my hands is all I have with no prospects or hopes of this changing anytime soon.