May 25, 2021

The impact of treatments on your ejaculations

Side effects related to sexual function following treatment for prostate cancer can affect your ejaculations, erectile function, and libido if you are on hormone therapy. It is essential to have frank and honest communications and to obtain timely medical help and support from a sex therapist to cope with these changes.

Regarding your ejaculations, we are always surprised to hear the question "where did my ejaculation go" following radical surgery or radiotherapy treatment. Because one of the important side effects, according to patients, is erectile dysfunction long before ejaculation...

Other treatments, such as those to decrease the size of your prostate in the presence of hyperplasia/enlarged prostate (BPH) can also have an impact on your ejaculations.

Here are some answers to your questions.

Why am I no longer ejaculating? 

To answer this question, you need to understand the anatomy of your prostate and its role in ejaculation.

Your prostate is essential for your fertility. Without it, you cannot fertilize an egg naturally. Its main role is to produce prostatic fluid, which is rich in enzymes, proteins and minerals, which help protect and nourish your sperm. During orgasm, your prostate pushes this fluid into your urethra, where it mixes with your sperm and the seminal fluid produced and stored in your seminal vesicles - pouches located on either side of your prostate - before being ejaculated as of semen.

The impact of radical surgery 

The radical surgery used to treat your prostate cancer affects your ejaculations as the source of the semen (ie your prostate and seminal vesicles) is removed; your libido remains intact, you can still have orgasms, but without ejaculate. This is called aspermia or anejaculation, hence the expression “dry orgasm”.

Another common phenomenon in recovery after radical surgery is urine leakage during an orgasm, known as climacturia. While this usually improves over time, you can adopt strategies to work around this problem during sex by doing your Kegel exercises, emptying your bladder before sex, and wearing a condon as needed. Easier to write than to put into practice, we know that. Give yourself time and stick with it!

What about radiotherapy? 

Because external radiotherapy or brachytherapy delivers large doses of rays to your prostate, more or less significant ejaculation disorders can occur after these treatments: reduction in volume (hypospermia) or disappearance of ejaculation (aspermia), retrograde ejaculation or discomfort during ejaculation.

I urinate my semen. Why?

Because you have what is called a retrograde ejaculation. It is an ejaculation that goes up towards your bladder instead of exiting through the urethra out of the penis. Orgasm remains present as does the mechanism for expelling your semen (with the contraction of your muscles in the perineal region). Retrograde ejaculation is not always complete: in fact, part of your semen can go back into your bladder while the other follows the normal course of ejaculation. Thus, you produce urine mixed with your semen.

Retrograde ejaculation often occurs after natural prostate surgery called TURP to treat severe BPH. Benign prostatic hyperplasia surgery widens your bladder neck and it cannot close during ejaculation: this leads to the expulsion of semen into the bladder rather than outside. of the penis.


Take the time to visit each of our pages on this website, as well as our YouTube channel, in order to get familiar with the disease with our expert lectures, our section on available resources, the support that is offered to you.

Do you have any questions or concerns? Above all, do not hesitate. Contact us at 1 855 899-2873 to discuss with a nurse specializing in uro-oncology. It's simple and free, like all our services.

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Written by PROCURE. © All rights reserved - 2021

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