better orgasm when penis is semi erect

 Just eighteen months out from my prostectomy and can get  a shortlived errection.This is not enough for intercorse....Can get a longer lasting one with Levitra and ring at base of penis ,enough for intercorse.   My orgasm is not good at the fully erect state.,I do have near my old normal ,when semi erect....Anyone else have this situation?

Jacknoon,

I have found mixed results.

I have found that we (my wife and I) have had to try new methods or variations in stimulation. Pre-surgery, for me, it was a no-brainer. I could see my wife, or touch her hand, or she touch me, and i was instantly erect. And, as for orgasms, 95% of the time, i had complete orgasms. The reason that i mention my pre-surgery results is to make the point that I did not have any 'issues' before surgery. (one of the brochures that I have read discusses how some guys are upset after surgery about problems with erection and orgasm, and studies have shown that some of the guys had difficulties BEFORE surgery. Well, the surgery is only going to make things more difficult, not make things easier.). With that stated up front, i will continue.

We have had to experiment to find what works now (post surgrey). Where (before surgery) several minutes of intercourse, oral, and hand stimulation, would lead to orgasm. Now, the pleasure is there again, but the final end result (orgasm) does not come as easily as it did. I have found that I now require some timing variations. Slower, faster, harder, softer, etc. Pause a few seconds, then continue. Lest you think that i am just rambling about the details of our sexual interaction, that is not my intent.

What i have found, is that with the proper variations (as described above), the intensity will continue to increase (which is what is needed for orgasm).

In answer to your question, i have found the best results when fully erect. However, in the past where continuous stimulation would make things work. Now (for me) I need some occasional pauses (for a few seconds). It seems to heighten the intensity, and take me higher on the excitement level. If the timing is good, and the mood is good, and the drug effect (viagra) is good, on occasions it has been very bit as enjoyable as pre-surgery. MOST of the time it is good, but not great. But some of the time it is truly great.

I still miss the mess, and all of the internal pulsations/thrusting that went with pre-surgery orgasms. It truly was a learning experience to discover (after surgery) how much an orgasm is more of a mental thing than a physical thing. Not that you don't need the physical stimulation, but the process (of climbing up the scale, reaching the climax) is more mental than physical. In the early days, after surgery, when i was first able to have some type of orgasm, there was very little sensation in my penis at the exact time of the orgasm, but instead it was more mental that was associated with the heavy breathing and increased heartbeat, the final climax, then cool down. Even now, it is weird to think about the orgasms that are less physical than mental.

As for my current situation: I am getting ready (have an Appt) to use Trimix. Up till now, i have used Viagra and an Osbon Erectaid pump. I am able to get some mild form of erection with no viagra and no pump, but it is not usable for intercourse. If i take viagra, then i can get firm enough for intercourse. The problem is that the duration of the erection is not as long as i would like (and it not like pre-surgery). and the firmness varies. The pump helps to make things a bit more firm. And the ring, with the pump, maintains the firmness (enough for my wife to have an orgasm). There are minor issues with the pump/ring. (1) she can feel the ring, when she is on top and rubs tightly against me in order to stimulate herself. (2) the erection actually begins at the point of constriction, where the ring is, and therefore there is some slight bending below the pump. Dr Patrick Walsh' book (Surviving Prostate Cancer, 2nd Ed, page 434) addresses this issue. I have heard from guys who use Trimix, that the erection is not associated with the point of the ring, and instead the erection is full born, and therefore it should remove the issues that I have with the pump and ring.

I would echo most everything that FiftiesMale has said, and his experiences are similar to mine. However, I think that the "orgasm is in your mind" rings especially true - and for whatever reason, the distractions and hassles post-surgery have made it so I have never yet been able to orgasm during intercourse. I am still making progress and am hopeful that I will get there. I doubt that it has anything to do with the strength of the erection, but everything to do with the circumstances and the fact that it is so much more difficult to be conditioned for orgasm (more stimulation, etc). For me, it seems the lack of ejaculation just plain distracts me as well and may hinder an orgasm.

Regarding the erection, I would say that I was about at the same point as you, jacknoon, at 18 months out, and now at 28 months, I have been just able to reach a good enough erection without injections or drugs to have intercourse (but not for a very long duration). Progress continues on that front as well.