 [ Symptoms ] had prostate removed due to cancer 20 years ago when i was 44 have had a few issues with erectile dysfunction however with viagra cialis or levitra i am able to get a great erection my problem is with the dry orgasm or should i say lack of orgasm for the first year or so after the surgery i could barely tell if i was having an orgasm it has since got a little better but absolutely nothing like it was before when i ejaculated and after 20 years it just seems like it continues to dwindle i have a very high sex drive testosterone was recently checked and it is abnormally high for someone my age but my orgasms are hardly worth the effort anymore is there anything you can recommend that would or could improve the quality of my dry orgasms i realize they will never ever be the same as they were before without ejaculating but i have talked with other men who have had radical prostatectomies and they do not seem to have any complaints or have this lack of sensation [ Disease ] diabetes itself can cause changes in sexual desire libido as well as age but i would not think that your medications would be high a very complex list of many other possible causes please consult your primary care medical provider for a proper evaluation and some help