Sexual Health After Prostate Cancer Treatment: What Men Need to Know – News18

Last Updated:October 27, 2024, 07:46 IST

Early and open discussions with doctors about sexual health are important for setting realistic expectations and accessing appropriate treatments

Treatments for prostate cancer may significantly impact sexual health, even though they can often be life-saving. Many men can move more confidently through the post-treatment phase if they are aware of these changes and know what to anticipate. Dr Rahul Wagh, Consultant, Surgical Oncology, Manipal Hospital, Baner, Pune shares all you need to know:

Common Issues with Sexual Health After Treatment

The prostate is a small gland that plays a key to male reproductive health is the prostate. Sexual function may be affected differently by prostate cancer treatments such as radiation therapy, hormone therapy, chemotherapy, and surgery (prostateectomy). Among the most prevalent problems that men face are:

1. Erectile Dysfunction (ED)One of the most common side effects following therapy for prostate cancer is erectile dysfunction (ED). Surgery or radiation can harm the erection-controlling nerves, which often appear around the prostate. Even though erectile function may gradually improve, some men may not regain full function for months or even years.
2. Decreased LibidoHormone therapy lowers testosterone levels and is frequently used to treat prostate cancer. Since testosterone is essential for sexual desire, libido may significantly decline if it is suppressed.
3. Orgasm ChangesAfter treatment for prostate cancer, many men observe changes in their orgasmic experience. Even without an erection, it may still be possible to experience an orgasm, but the intensity and satisfaction might get reduced.
4. Dry OrgasmsThe body stops producing semen following a prostatectomy, which results in “dry orgasms.” The lack of ejaculation may cause a different orgasmic experience, even when the sensation is still present.
5. Penile ShorteningAfter radiation treatment or surgery, some men complain that their penis appears shorter. This is frequently brought on by the development of scar tissue or decreased blood supply to the penile tissue.
   

   Treatment Options

6. Medications for Erectile DysfunctionPhosphodiesterase type 5 inhibitors, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), are commonly prescribed to help men achieve erections. These medications work by enhancing blood flow to the penis, making it easier to attain and maintain an erection.
7. Penile RehabilitationPenile rehabilitation treatment after surgery is also recommended. This may involve the use of medications, vacuum erection devices, or penile injections to help restore erectile function over time.
8. Hormone Replacement Therapy (HRT)Men who are suffering a drop in libido because of low testosterone levels may want to try HRT. However, since elevated testosterone levels may promote the growth of prostate cancer cells, this alternative is carefully considered.To draw blood into the penis and aid in achieving an erection, vacuum erection devices (VEDs) produce a vacuum surrounding the organ. This non-invasive method may be a good substitute for guys who don’t react well to medicine.
9. Penile ImplantsPenile implants provide a long-term remedy for erectile dysfunction in men who find alternative treatments ineffective. These surgically implanted devices can offer a long-term solution and give men control over when they get an erection.

Early and open discussions with doctors about sexual health are important for setting realistic expectations and accessing appropriate treatments. The quality of life for patients receiving treatment for prostate cancer can be enhanced by treating sexual health with consideration and understanding since it is an essential component of overall well-being.