Encouraging orgasm for men on ADT

User

Posted 25 Mar 2026 at 07:52

Good morning guys. My husband is on Decapeptyl injections and taking Sildenafil 50mg on demand. His GP prescribed the standard 4 a month. So far after 4 months it is working fine for normal sex.. Even in our early 70s our lovelife has been wonderful for both of us and still is. 4 is not quite enough so we use mutual massage.

He does use a Somaerect to prevent atrophy etc.

Obviously there are differences for my husband who no longer orgasms. He says its fine and he really enjoys what we do anyway but a few times I feel he's almost made it. I did buy a gadget from Lovehoney which we both found hilarious and he said he'd rather just not bother. He does still initiate sex and tells me which day he's taking his little blue pill.

Is there any thing I can do to improve this?

User

Posted 25 Mar 2026 at 09:42

He’s lucky, when I was on Decapeptyl I couldn’t get anything like an erection even with 100mg of Viagra. I also completely lost interest in women altogether, it was like being ten years old all over again.

User

Posted 25 Mar 2026 at 10:03

We've been together a very long time., 53 years altogether. It's probably hard to imagine having passionate sex 2 or 3 times a week after that long! But it's just how some people are. He had a vasectomy about 40 years ago and often it was every night. I think memory and usual patterns do probably have a big part to play in all of this. He also is really thoughtful and considerate and knows its a huge part of our life for me. I wasn't affected at all by the menopause at 54, not even hot flushes. It's more about our relationship norms than just sex.

User

Posted 25 Mar 2026 at 11:59

I envy you😊

User

Posted 25 Mar 2026 at 13:17

I would consider stopping the HT early, it's impact on your love life will only get worse. Take the QOL while you can, save the HT for later IF he ever needs it.

User

Posted 25 Mar 2026 at 13:36

Yes I hope he can. But we both want the very best chance of survival obviously. He is G8 and although confined to prostate it has spread to one node so he will definitely take the Apalutamide, I don't think refusing it is an option. He's been told it will be for 2 years.

He is very active lots of walking, this morning he's been digging on our allotment, then walked to see someone in the village. Soon we're off to do a few jobs at our daughters. I think physical activity definitely has a positive impact

User

Posted 25 Mar 2026 at 14:01

According to Grok the ATLAS trial will be providing preliminary reports on your husband's scenario "Does adjuvant Apalutimide improve stuff with G8 prostate cancer where primary treatment is RT" (my summary 🙂) in June 2026.

Might be worth keeping an eye out for the results to inform your decision.

For regular HT the "benefits" Are now quite well defined:

"Large older trials (e.g., RTOG, EORTC) showed that long-term ADT improves 10-year overall survival by roughly 8–15 percentage points compared with radiotherapy alone or short-term ADT ". Thanks Grok.

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