This topic is about the changes in sexual function that some people experience after undergoing ostomy surgery, specifically concerning dry orgasms or reduced ejaculate. The person who started the discussion had gut surgery, resulting in a colostomy, and noticed these changes. They are curious if this is a normal occurrence and whether things will return to how they were before the surgery.

Here are some helpful insights and advice shared by others:

1. Consult the right specialists:
- It's important to see a urologist for this issue. Some also suggest involving the original colorectal surgeon and a gastroenterologist to check for any surgical complications or nerve injuries.
- A urologist can test for conditions like retrograde ejaculation, check for vascular injuries, assess hormone levels, and offer specific treatment options.

2. Possible causes of reduced or absent ejaculate:
- Nerve damage during abdominal or pelvic surgery can affect normal ejaculatory function.
- Temporary or permanent trauma to testicular arteries might reduce sperm production.
- Retrograde ejaculation, where semen goes into the bladder, can occur after pelvic surgery if certain nerves are affected.

3. Prognosis and expectations:
- Some people have experienced similar symptoms that lasted for months or became permanent, while others have seen partial recovery as nerves heal over time.
- Age-related testosterone decline might also affect sexual changes after surgery.

4. Symptom management and maintenance strategies:
- A urologist might recommend using penile vacuum pumps to maintain blood flow and help preserve erectile tissue health. This can assist with erections but won't fix nerve damage related to orgasm or ejaculation.
- It's suggested to give the body some time, like a 3-month observation period, before considering invasive treatments unless other concerning symptoms arise.

5. Emotional support:
- It's common to feel anxious or frustrated about these changes after surgery. Many have shared similar experiences and found that talking with others can be helpful.