What Is Intercourse Like After Having Prostatectomy? | Moorgate

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What is intercourse like after having a prostatectomy?


Sex after prostate cancer, it requires persistence and patience. Sex after prostate cancer can be deeply satisfying, but it may be different than it was before. If your loved one didn’t have any erection problems before their prostectomy, he was probably able to become aroused without any touching or direct stimulation. That may change after treatment.


What to expect

Sexual recovery often takes time. Despite what doctors may tell you, it can actually take up to four years for men to see the most improvement in sexual function after prostate cancer surgery. Try not to be discouraged or give up altogether. We can tell you from experience that it helps to keep trying, even if you don’t experience that it helps to keep trying, even if you don’t experience the results that you want right away.


Key Factors

The ability to have penetrable sex after prostate cancer treatment depends on:


  • The type of treatment and whether one or both nerve bundles are removed or damaged
  • Whether a man had erection problems prior to treatment
  • Age as impotence may become more of an issue as men get older.


Following a nerve-sparing radical prostatectomy, recovery from impotence generally happens slowly over time.  A man will have dry orgasms because the prostate and seminal vesicles have been removed. After radiation therapy, if impotence is a problem, it typically develops over time.


Don’t stop having sex after prostate cancer treatment

Experts say that you should not stop having sex after prostate cancer treatment, even if your man is not able to get or maintain an erection. It may help to approach sex after prostate cancer treatment:


  • Without any expectations
  • By being open to experimenting
  • By discussing what works and what doesn’t


Options to help improve erectile dysfunction

Your man will probably need a drug or device to be able to have sex after surgery or prostate cancer. You may need to experiment a bit. If one option does not work, ask your doctor about trying another.


There are several different erectile dysfunction drugs that many men find effective. They are not all the same and you may need to try more than one drug before you find one that works best for you.


While some men may be initially squeamish about using needles, self-injected drugs may be helpful if erectile dysfunction drugs are not working the way you want them to. If your man is totally against needles, he can still get a similar medication by using urethral pellets.

Another less invasive option is vacuum pump devices. They require a little education and some practice. Some men who want a permanent option may look to penile implants, which are surgically inserted. Considering natural remedies? Beware before you buy. Be sure that they have been clinically proven to work. If you have tried everything without any success, there is still another option to consider: a strap on penile prosthesis.

At Moorgate Andrology we offer a range of erectile dysfunction treatments, contact us now to book a consultation!

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