Between the Sheets – January 2023 January 9, 2023 QUESTION FROM PROSTATE CANCER SURVIVOR:I’m gay. And I’ve had my prostate removed. Will I be able to still stimulate the prostate bed area to orgasm as I did before. Have not tried. Afraid. Thank you.RESPONSE FROM DR. ANNE KATZ:The only way to find out is to try! Men have told me that it is stimulation of the prostate itself that produces the sensations and orgasm. But maybe the stimulation of the rectal wall/prostate bed will do it too. My suggestion is to either try yourself with a vibrator (be gentle!) or with a trusted partner who will be gentle. Lots of lube and lots of breathing to relax, and a safe word if you want him to stop/pull out/go slow.You can also ask other men who have had the surgery, but remember that everyone is different.ZERO offers resources, including support groups to help you to get in touch with other gay men who can give you their advice. QUESTION FROM PROSTATE CANCER SURVIVOR:When is it safe to resume receptive anal intercourse after radical prostatectomy?RESPONSE FROM DR. ANNE KATZ:It is generally considered safe to engage in receptive anal intercourse six weeks after radical prostatectomy. For those who are interested, here is additional information from pre-diagnostic testing to radiation therapy:Before a PSA blood test – one week (may lead to an inaccurate result).Following a transrectal biopsy (TRUS) – two weeks (may cause bleeding, pain, or increase the risk of infection).Following a transperineal biopsy – one week (to allow bruising to settle, and reduce painful intercourse).During external beam radiotherapy and two months afterwards (could make acute side effects worse, be painful, or result in long term complications such as rectal bleeding).After brachytherapy – abstain for six months to minimize radiation exposure for insertive partner. About Prostate Cancer Between the Sheets Blog Posts Health & Nutrition Help & Support Living with Prostate Cancer Mental Health Screening & PSA Test Sexual Health Symptoms & Side Effects View All Contributor Dr. Anne Katz Dr. Katz provided a bimonthly column to our platform for experts in the field to help men and women by providing answers to questions about sexual health and intimacy challenges that can result from prostate cancer treatment. Dr. Katz also provides helpful webinars to our prostate cancer patients. Katz' column was compiled with the help of Dr. Anne Katz, Certified Sexuality Counselor and Clinical Nurse Specialist at CancerCare Manitoba. She has educated thousands of healthcare providers and cancer survivors about cancer, sexuality and survivorship. She is an avid blogger for ASCO Connections and the author of 14 books on the topics of illness, sexuality, and cancer survivorship. (www.drannekatz.com) More for you
QUESTION FROM PROSTATE CANCER SURVIVOR:I’m gay. And I’ve had my prostate removed. Will I be able to still stimulate the prostate bed area to orgasm as I did before. Have not tried. Afraid. Thank you.RESPONSE FROM DR. ANNE KATZ:The only way to find out is to try! Men have told me that it is stimulation of the prostate itself that produces the sensations and orgasm. But maybe the stimulation of the rectal wall/prostate bed will do it too. My suggestion is to either try yourself with a vibrator (be gentle!) or with a trusted partner who will be gentle. Lots of lube and lots of breathing to relax, and a safe word if you want him to stop/pull out/go slow.You can also ask other men who have had the surgery, but remember that everyone is different.ZERO offers resources, including support groups to help you to get in touch with other gay men who can give you their advice. QUESTION FROM PROSTATE CANCER SURVIVOR:When is it safe to resume receptive anal intercourse after radical prostatectomy?RESPONSE FROM DR. ANNE KATZ:It is generally considered safe to engage in receptive anal intercourse six weeks after radical prostatectomy. For those who are interested, here is additional information from pre-diagnostic testing to radiation therapy:Before a PSA blood test – one week (may lead to an inaccurate result).Following a transrectal biopsy (TRUS) – two weeks (may cause bleeding, pain, or increase the risk of infection).Following a transperineal biopsy – one week (to allow bruising to settle, and reduce painful intercourse).During external beam radiotherapy and two months afterwards (could make acute side effects worse, be painful, or result in long term complications such as rectal bleeding).After brachytherapy – abstain for six months to minimize radiation exposure for insertive partner.
About Prostate Cancer Between the Sheets Blog Posts Health & Nutrition Help & Support Living with Prostate Cancer Mental Health Screening & PSA Test Sexual Health Symptoms & Side Effects View All
