Ejaculation return

[StLouisGuy]

I read a post on here quite awhile back from someone who was using pelvic floor physical therapy to address various post treatment issues. I decided to follow up to see if it could help with my intermittent ED and/or my constant no ejaculation and aorgasma (two related but diff things for me). Took a LONG time to find a physical therapist trained in the area and she admitted up front that it is a relatively new and not documented treatment area, and that they are using and modifying techniques developed for other issues to address ejaculation issues and ED. After four weeks of once a week treatment I am now ejaculating with moderate volume if coaxed to the point by a somewhat long erotic full body massage!!!! Strangely, however, no improvement yet if engaging in more affirmative action/sexual activity. Then, I still dont ejaculate or orgasm...still, however a great improvement after 4 weeks after 2 years of nada..... been using pelvic floor exercises and two manual manipulation techniques. I will get formal name of the procedures she does and follow up with an edit giving the names in a few days.

[Amosmoses]

There are so many variables to be able to regain the ability to ejaculate

[Hidden]

After TURP surgery I had retrograde ejaculation -- sperm went back into my bladder. After HIFU surgery for prostate cancer no ejaculation but orgasm still achieved.

[StLouisGuy]

Ejaculation back with fair amount if volume!!! But so far only after extended foreplay, massage with focus on me. Still have intermittent ED issues and when I am more proactive, in please her mode (more.my historic self) if I do achieve erection I still dont cum... weird. Done to me, passively, i cum. I engage, i dont. Anybody have any ideas?

[Amosmoses]

What procedure did you have in the first place that caused lack of ejac.

[StLouisGuy in reply to Amosmoses]

Had 1 "six month" lupron shot 25 sessions of EBRT and then HBR Brachy. Completed the treatment in August 2019..

[Amosmoses]

Ah interesting that you can recover and have ejc after that What type of therapy did you have

Btw in stl too

[StLouisGuy in reply to Amosmoses]

Pelvic floor exercises, perineal tendon manipulation and spermatic cord manipulation. You have to be comfortable with rubbing and prodding perineum and scrotum

[Amosmoses]

I don't think after my surgery there is a chance to regain ejc.