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Prostate Orgasm: What It Is

Medically Reviewed by Neha Pathak, MD on November 17, 2020

The prostate is a gland that produces some of the fluid in semen. About the size and shape of a walnut, it surrounds the urethra, the tube through which the bladder empties urine. It’s located in front of the rectum, between the bladder and the penis. When the prostate gland is stimulated or massaged, it’s possible for a person to have a type of orgasm called a prostate orgasm.

Prostate massage to the point of orgasm is also sometimes recommended as an alternative treatment for prostatitis, a condition that means the prostate is inflamed. Draining fluid from the prostate ducts can help to relieve pressure. There has even been some research into the effectiveness of an at-home device for prostate massage, particularly in the case of benign prostatic hyperplasia (BPH), a type of prostate inflammation that can happen as men age and can cause pain or trouble peeing.

Prostate massage can also be a sexual activity. Inserting a finger, penis, or device into the anus and stimulating the prostate from there can lead to orgasm for some people. You can also stimulate the gland from the outside by massaging the prostate through the perineum, the area between the anus and the scrotum. Orgasm achieved solely through perineum massage is sometimes known as perineum orgasm.

The prostate is surrounded by nerve endings, and some people find that massage can feel good even if they don’t have an orgasm.

Other Names for Prostate Orgasm

The prostate is sometimes called the male g-spot, or the p-spot, a reference to the area inside the vagina, called the g-spot, that may lead to orgasm.

Some people use the phrase “prostate milking” instead of prostate massage. 

“Prostate massage,” “prostate orgasm,” and “prostate milking” are often used interchangeably. However, some use “prostate milking” to describe only orgasms from internal, rather than perineal, massage.

What’s the Difference Between Prostate and Penile Orgasm?

There are several differences between orgasms of the prostate and the penis. These include:

Ejaculate

Prostatic fluid is only one part of the fluid that comes out when the penis ejaculates. The rest comes from other structures, including the seminal vesicles and the urethral and bulbourethral glands. A prostate orgasm will only produce fluid from the prostate gland.

Method of Stimulation

Arousal and orgasm are complex processes that involve the nerves, brain, and hormones, in addition to sex organs. There is a lot that doctors still don’t know about them. However, penile orgasm generally happens through stimulation of the penis, and prostate orgasm through the stimulation of the prostate.

Sensation

While some men do not enjoy the sensation of prostate orgasm, others prefer it. In general, prostate orgasms are thought to be more intense than penile orgasms. For one thing, penile orgasms are associated with 4-8 pelvic contractions, while prostatic massage orgasms are associated with 12.

Recovery Time

In general, prostate orgasms require a shorter refractory period, or recovery time, than penile orgasms. For that reason, prostate orgasms are sometimes associated with the possibility of multiple orgasms.

It’s possible to have a prostate and penile orgasm at the same time or one after another, and some people find that this combination provides the most intense orgasm. However, you may lose your erection after a prostate orgasm, which can prevent or delay penile orgasm.

How to Explore Prostate Orgasm

Prostate orgasm can be explored either solo or with a partner.

If you’re trying it for the first time, you may want to begin with stimulation of the perineum. As you move backwards towards the anus, you will know you’ve hit the right spot when the area under your skin feels softer and you feel an increase in sensation. You may also feel like you need to pee at the same time.

If you want to try internal stimulation, start by inserting a well lubricated finger (your own or a partner’s) into your rectum. Be gentle. The prostate will feel fleshier and softer than the surrounding area.

You can also use sex toys such as vibrators and plugs in order to achieve prostate orgasm. They may be used either internally or externally.

Safety Advice and Special Considerations

Prostate orgasm is generally safe to try so long as you take proper precautions to avoid scratching or irritating the tissue:

  • Trim your nails
  • Be gentle, go slow, and start small
  • Use a strong lubricant

You can use a water-based lubricant or a silicone one. Some prefer silicone for anal play because it tends to last longer and provide more lubrication. However, if using silicone toys, be sure to use a water-based lube.

Because the prostate is so near the rectum, you shouldn’t encounter poop so long as you’ve had a bowel movement within the last day or so. However, if you’re worried about the possibility or you need to go to the bathroom, you can check beforehand. If an inserted device or finger emerges clean, you should be fine. If not, perhaps leave prostate massage for another day.

WebMD Medical Reference

Sources

SOURCES:

American Cancer Society: “Screening Tests for Prostate Cancer.”

Britannica: “Semen.”

Centers for Disease Control and Prevention: “What is Prostate Cancer?”

Clinical Anatomy: “Prostate-induced orgasms: A concise review illustrated with a highly relevant case study.”

Cosmopolitan: “Everything You Need to Know About Milking a Guy’s Prostate.”

Fertility and Sterility: “Normal male sexual function: emphasis on orgasm and ejaculation.”

Men’s Health: “5 Men Share the Differences Between Penile and Prostate Orgasms.”

Men’s Health: “How to Have a Perineum Orgasm.”

The Open Urology & Nephrology Journal: “Evaluation of an At-Home-Use Device for Men with Lower Urinary Tract Symptoms.”

Urology Care Foundation: “Prostatitis.”

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