Prostate cancer and sexual issues
Prostate cancer treatment can affect a man’s sex life.
Sexual issues related to prostate disease and its treatment may include
impotence, decreased sex drive, and abnormal ejaculation. (One
common type of abnormal ejaculation is
retrograde ejaculation, in which semen enters the
bladder instead of going out through the
urethra.)
Concern about sexual function can interfere with sex as well. Men should
talk to their doctors about sexual function before and after treatment. Some men
also find it helpful to speak to a counselor or specialist during the adjustment
period following treatment for prostate cancer.
Treatment for prostate cancer can sometimes lead to impotence.
Men often remain impotent for several months after
radical prostatectomy for prostate cancer. It’s important to
give your body time to heal. In the meantime, emphasize aspects of sex that involve
touching and closeness. Men are capable of sexual intimacy, and can experience pleasure
even if they are impotent for any period of time.
If enough time has passed without a return of sexual potency, you may want to consider
various medications, implants, injections, and devices that are available to treat
prostate cancer impotence. This is a decision that requires a great
deal of openness and communication. You should discuss this condition with your
partner and your physician.
If you have concerns about how your treatment is affecting your sex life, ask a
trusted member of your healthcare team for advice. They may recommend a therapist
who can help specifically with sexual concerns.
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