Susan's Place Transgender Resources

If someone were to have the prostate removed for medical reasons, and then underwent SRS, could they still orgasm?

From a web search:

During sex after prostate surgery, you will be able to achieve orgasm; however, you will have no ejaculation since the prostate is no longer available to produce the fluid.

So, shouldn't it be the same after SRS?  The nerves are all the same.

Quote from: JLT1 on June 25, 2013, 08:17:30 PM
If someone were to have the prostate removed for medical reasons, and then underwent SRS, could they still orgasm?

I'd advise against it, if you're a fan of PIV sex. Since being postop, and having sex with my bf, the prostate gland still plays a big part in stimulation. Very similar to anal sex, but just approaching the prostate from a different direction. Again as with many such issues, YMMV and IMHE.

It depends, I suppose, on how you define "orgasm."

Orgasm n. : intense or paroxysmal excitement; especially : an explosive discharge of neuromuscular tensions at the height of sexual arousal that is usually accompanied by the ejaculation of semen in the male and by vaginal contractions in the female

Because I always bring the Wiki to the party: https://www.susans.org/wiki/Prostate (https://www.susans.org/wiki/Prostate)

Quote from: JennX on June 25, 2013, 08:29:09 PM
I'd advise against it,

If the medical reason is Prostate Cancer ... I'd advise for it. 

Quote from: KarenCDN on June 25, 2013, 08:38:59 PM
If the medical reason is Prostate Cancer ... I'd advise for it.

Depends on the reason. Some will remove it as a preemptive attack or if there is a family history. I've had some medical doctors wrongly assume it is removed as part of the SRS procedure, which it is not. The main preventive measure is postop you will have to rely on manual digital prostate exams, because the standard PSA test is no longer accurate. Unless you don't mind a transrectalultrasound or cystoscopy once a year.

Quote from: JennX on June 25, 2013, 08:48:10 PM
Depends on the reason. Some will remove it as a preemptive attack or if there is a family history.

...

Learned something today.  Something to be said to having a good doctor who listens as well as explains.

This never came up yet for me, but I don't have a family history so I guess that's why.

I had a pelvic MRI.  A few issues – no cancer, no tumors, just things aren't right.  Prostate is an obvious problem so they decided to a prostate biopsy – scheduled for the week after the 4th.  This morning (at 6:45) was a CT scan looking at other things.   

I was just thinking about the future and "What If's??"

One of the oldest treatments for prostate cancer is castration.  It is said of many with prostate cancer - they die "with" it - not "from" it.

I offered that up.  ;D  <--Me  Theystarred at me as it's not cancer.   >:(  <-- Doctor  Sounded like a good option for preventative measures.  :angel:   <--Me

Getting off topic here, but they also used to give men who had prostate cancer estrogen to curtail testosterone production and significantly slow the growth of prostate cancer.  A lot of men refused the estrogen, filled with emotions ranging from disgust to terror.  Offer estrogen to a trans woman for any reason, let alone to saveher life, and they go for it eagerly.  There is something there that I think people are missing....  I've just been awake too long to complete the thought.

  My PSA was in the danger zone at age 53.  I went to a urologist with the test results and he was really pushing his surgery, his nurse did the same while she prepped me for the digital exam.  He would not allow me to go on female HRT because that I was "too young" for that, even though I told him that I had gender identity issues.  This was 2006.  The SOC for prostate cancer had changed since then. 

  The prostate biopsy itself has its dangers as well in some men.  If the biopsy shows cancer, many options are available.  If the cancer is progressive, usually radiation or a new therapy that uses your own T cells will get at the non-castrate portion of the cancer.  The latter is usually done after hormone therapy gets at the castrate kind.  Both cancers are usually present with the progressive type. 

Just hope you don't have any cancer!  Being diagnosed at your age of 51 is too young!  Do not wish cancer to get on HRT!  When my PSA number did go up it was one of these "Oh S***!  What have I done!"  kind of things.  Mine turned out to be prostatitis caused by the large pulsing of T in my system starting around 50, irritating it.  Men around the age of 50 will start to slow down the production of T.  Sometimes it pulses causing mood swings, hot flashes and erectile problems. 

  In addition, I hope that your doctor was informed that you have gender identity issues.  HRT therapy is a scary ride unto itself.  We've got cookies!

  Joelene

The urologist knows I have gender identity disorder and that I have been on HRT for almost five months. He has a number of transwomen as patients.  My PSA test is normal.  They thought about prostatitus, with three rounds of antibiotics.  They tried testosterone to firm up the prostate, which made it worse.  They tried a prostate message treatment (could sound fun to some - it ISN'T).  So, a second MRI.   I don't have cancer, I have a messed up prostate.  As viewed by the MRI, the prostate is more the size of a medium grapefruit rather than a walnut.  It is irregular in shape, and looks, to me, more like a blob of liver rather than a prostate.  No one has ever seen anything like that and they see a lot of cancers.  So, they want to biopsy it to see the cellular structure. 
I was trying to joke about an orchiectomy, a procedure I will have eventually, and they know it. I'm just a little nervous and was worried so I wanted to know about sex after SRS if the prostate was removed.  Was hoping for some direct experience.     
Thank you for your concern, you are correct with what you said.