.
I deal with the pre-surgical phase, trying to prevent the situation from getting that bad, so don't have much help on the later stages, other than with retrograde ejaculation, the orgasm still happens, but the output takes the shorter path upstream instead, so no more side jobs doing ‘money shots’. The amount of semen is reduced to the extent there is less prostate gland after procedures, too. But old guys ALL eventually just shoot ‘dust’ anyway, and I don’t think their partners care (most wives say they appreciate the less mess).
You can try nasal oxytocin spray to see if it helps the ‘intensity’ of the orgasm, as it works for some women post-hysterectomy or other procedures (the prostate and uterus are embryologically similar in origin and both contract during orgasm; oxytocin enhances this sensation); both uterus and prostate respond to Cialis by relaxing, by the way, which is why that drug improves BPH symptoms AND helps menstrual cramps).
If you’re over 40, or over 30 and putting on weight, at your next physical (which should be YEARLY), be sure to get your testosterone (including the total, free/unbound, and DHT), your estrogens (at least the estradiol & estrone, there are many forms*), and maybe in the future, your progesterone, measured.
High estrogen MUST be addressed. Easy - usually with anastrozole a couple days a week). Low progesterone MAY be an issue; just now being explored. High DHT can be addressed by progesterone or more commonly by DIM (diondolylmethane).
Low testosterone in my opinion also should be addressed, even without ‘bedroom’ symptoms, due to a low testosterone being associated with weight gain, loss of muscle and bone mass, fatigue, earlier cognitive decline, depression, worse or earlier onset of diabetes, heart disease, stroke, AND an increased likelihood of delayed diagnosis of prostate cancer. Also if prostate cancer does develop, it tends to be more aggressive in Guy’s with low testosterone.
Complex stuff, and decisions must be individualized, and made with your personal physician, but I think that attending to these issues in your the 30-60 age range when there are no symptoms yet, can PREVENT needing the tamsulosin or finasteride or surgery later.
*this is the best test -
https://dutchtest.com/product/dutch-sex ... tabolites/ - but I mostly use it for women, to differentiate between the many forms of estrogen, since some increase the risk of breast cancer and dome DECREASE the risk of breast cancer and we can easily alter which forms predominate.