Post-op w/o prostate Orgasm??

[JLT1]

I am writing this because I have developed a rather rare but nasty problem in my prostate.  It has calcified deposits (calculi) and has prostatic abscess formed due to the calculi. (Very painful) Bottom line, most of my prostate is being removed.  So the question, "Can a post-op MTF still orgasm without a prostate?" 

Hurting,

Jen

[Vicky]

I do not know the answer, but feel deeply about your anguish and fear of what must be happening.

I have not pinpointed the exact place where my orgasms (the few for sure) most affect.  I know that without the prostate, there will not be ejaculate during orgasm, but in my pre op days, most of my "orgasmic energy" came from my breasts and upper thighs, and while there was ejaculate, it was by far the least element of my climaxes.  There has been no change in the nerve stimulation issues above my waist, and at 11 months PO, the nerve sensations in the vulvar area are still processing their new information, but it is not complete yet.

Based on the limited response I get from the prostate ejaculate these days, but the basic feeling of a climax and release of other nerve areas, my guess is that you will have some type of orgasmic climax, but it will be different than you have experienced to date.  You will be able to have pleasure from intimacy. 

[Jennygirl]

I'm not post/op yet, but I just recently experienced an orgasm from intimacy alone. There was thrusting involved, but no penetration or friction on genital areas. Mainly just repetitive close contact and some very intense emotions being exchanged

I was blown away. It can be done! And the surprising thing was it wasn't even that hard.

[Doctorwho?]

simple answer yes. True female orgasm is not about the feeling of ejaculation.

You may have issues with vaginal dryness but orgasm will be fine as long as you have a decent surgeon who spares the nerve fibers in your penile tissue.

(I don't appear to have one and I do just fine.)

[JLT1]

Vicky, Jennygirl and Doctorwho,

Thank You.

This has been a very difficult time and difficult subject for me.  I am encouraged.

I previously contacted SRS surgeons about working with no prostate plus a couple other problems.  Dr McGinn had some experience working with that plus the other difficulties.  She was willing to take me but really was "fuzzy" on the orgasm thing.  So....  I have the letter.  Mid-Late 2014?   

Hugs,

Jen

[Jenna Marie]

I don't see why not? The prostate allows for ejaculation, but that's its only contribution - and post-op, it won't be relevant.   Sure, it feels nice for some people to have their prostate touched, and it doubles as the "G-spot" afterwards, but cis women don't all get off from the G-spot either.

Personally, my prostate was so small no doctor besides the surgeon could confirm it exists, and I've had zero problems. The orgasmic bits are, shall we say, located elsewhere. (The clit is *amazing.* No comparison at all to what was there before!)

[Brooke777]

I too am pre-op, and have experienced multiple orgasms without any prostate or genital stimulation. It is more than possible, and wonderful when they come. I actually orgasm a lot easier now than I did prior to hormones. God bless the female orgasm!

[Doctorwho?]

I'm reluctant to comment on US surgeons, because a.) I'm not totally familiar with them and b.) as I'm a medical student I'm not really supposed to give advice like that. So my only comment would be based on my own experiences of contacting surgeons a few years ago when I decided that my nearly 30 year old surgery needed a little upgrade...

Now from that experience I personally would tend to chose Toby Meltzer over Dr McGinn - who frankly seemed to me to be rather difficult to deal with, a little paranoid about complications, and frankly seemed to have an obsession with only operating on young attractive and slim patients. That is just my experience though, and I may just have been unlucky and got through to someone who didn't understand where I was at or whatever - but they seemed to struggle with the fact that as an already ultra ultra longterm postop I just didn't fit their normal patient profile.

I'm sure both are excellent doctors, so this isn't shorthand for don't go to see McGinn. I just personally found the communication dynamic of Meltzer to be better - although in the end I used a UK surgeon who also did an excellent job.

No surgeon is ever going to give you a total guarantee about orgasms because there are just too many ways that it can end up going wrong! However in reality the majority of people don't have an issue.

One point to make about the likes of Meltzer is that they do "two stage" procedures. I know some people don't like that, but to me it does make sense, because when you are doing the "big" stuff - everything gets swollen and its quite difficult to know exactly how the tissue will settle down once it is healed. Thus allowing for the possibility of a second rather more minor cosmetic touch up, in my opinion, allows finer precision to be achieved.

This is in effect what I ended up doing - although in my case the gap between stage 1 and stage 2 was the best part of 30 years!

whoever you choose I wish you good luck.

[Mirian]

Jen, my apologizes but what do you mean with "most of my P is being removed" ?
That it's planned for partial removal during your coming SRS ? Or you already had this surgery ?
May also I ask you kindly how they diagnosed your disease and what symptoms you had ?
(I ask since I suffer chronic pelvic pain and things may be related, who knows...)

For me, I'm well post-op and I never had the impression that my orgasms come from that hateful part,
rather from all around the area... OTC for me touching that P always gave nasty sensations, as if I
need to pee or such, definitely nothing pleasureable...