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  • Can You Get Your Ability to Climax Back After Prostate Cancer.mp4

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Hey friends, we’re wrapping up this round of Ask Dr. Susie G. Here’s the final question you submitted: “I seem to have lost the ability to climax recently. Is there a way to get it back? 74-year-old male, prostate cancer survivor. Radiation and hormone therapy completed in 2010.”

In today’s video, I talk about how treatments like radiation and hormone therapy can affect orgasm and ejaculation years down the road by impacting nerves, blood vessels, and tissue health, including radiation-related fibrosis.

And I talk about the hopeful part too: how exploring these different factors can sometimes help you move closer to getting orgasm back, or at least improving pleasure and satisfaction.

Give it a watch and let me know:

How did you like this 4-day, one-question-per-video format?

If you have follow-up questions, drop them in the comments.

Medical Disclaimer: This content is educational and not a substitute for personalized medical care. Please consult your healthcare provider for guidance specific to you.

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Can You Get Your Ability to Climax Back After Prostate Cancer? Q&A Day 4

Can You Get Your Ability to Climax Back After Prostate Cancer? Q&A Day 4

Comments

Guy

Interesting that the gent does not mention erectile issues or such. I'd be curious about his testosterone level. I had 28 sessions of IMRT and 6 months of ADT at age 74 in 2020, recovered pretty much, but needed testosterone replacement therapy to maintain a healthy level and pelvic floor therapy to learn how to relax the perineal muscles. No orgasm problems other than being so interested in the pleasure of sensations that I'd put off orgasm and even fall asleep without orgasm.

John Bastian

I had a round of prostate surgeries, first the Urolift, which did not help my urine flow, so the Urologist preformed a routo rooter type surgery to widen the prostate for easy of flow, which worked for about 6 months, then I was found to have 7 spots that were cancerous, so I had the full TURP, this cut the spermal cord, I can get some satisfaction with Trimex 50 MG, but no ejaculation.

John Bastian

My biggest problem is the pelvic floor damage done. I cannot sit in the same place for more than a few minutes; the burning has now progressed up my groin area to my shaft. In St. Louis, there are no penis friendly therapists.

REX J S 1

Hey Dr Susie-after your climax video, I gotta ask: Three plus painful erections a day, all ending in ejaculation without any stimulation. Started after PT, and now after Tuesday during angioplasty they found aorta and both iliac blockages from aneurysms... could poor blood return be causing all that extra pressure? I'm naked 24/7 because of groin pain, just dealing. Holistic help?

Dr. Susie Gronski - Doctor of Physical Therapy

Oh, Rex...I'm so sorry you're going through such a difficult time. 😢 The iliac blockage could definitely be a contributor to your pain issue - the impaired blood flow to the pelvis/genitals is the possible issue here (and this impacts nerve health too). Does any movement help, even temporarily?

REX J S 1

Yes Doc. warmth and pressure from a hands touch to the penis, perineum, scar tissue and anus can all get temporary relief, problem is I can't reach down to the front. So scar tissue and penis are out of reach without causing more pain, from the back I can reach the anus and perineum without pain and can relax and create a little pleasure relief. I've tried every type of heat and pressure and nothing matches the human warmth and touch. that just seams so weird to me, I don't know my brains running at a million miles an hour right now. I'm to focused on it I need a distraction.

Dr. Susie Gronski - Doctor of Physical Therapy

If you can’t reach your genitals right now, that’s okay. Pelvic pain can make simple things feel hard, so instead of forcing it, we focus on what supports your system. You can work around the area by gently massaging your inner thighs, glutes, low belly, or hip crease. These spots still speak to the same network of nerves and muscles. Slow, low-rib breathing can help soften pelvic floor tension, and gentle movements like rocking or side-lying knee rolls act as an internal massage without any direct touch. Warmth, a shower, or even time outdoors can help your nervous system downshift. If you want some sensory input without reaching, a warm washcloth or soft towel over the area can be soothing. And if mobility is the barrier, try lying on your side with a pillow between your knees, which often makes things more accessible.

REX J S 1

Hey Dr. Suzy, I appreciate you so much, dumb question-is the low belly massage the one from your video? Hip to hip, light pressure over the pubic bone? I don't want to do the wrong thing. And if it is, can you point me to where I can find it? Still struggling to navigate the site. Thanks big O