Prostate cancer is easily one of the most challenging health issues because of the treatment possibilities and their implications, most notably on one's sexual health. For most men, sexual health is a personal aspect of life that cancer surely complicates. Nevertheless, one needs to comprehend everything regarding the topic, exploring both possibilities and inevitabilities. Information is important. It provides a sense of control and enables calculated decisions to be made regarding personal health.
Let's explore the important details so that you can approach the subject without unease.
Sitting right below the bladder, the prostate gland is a critical component of the male anatomy and male sexual performance, since it contributes some of the fluid in semen. Furthermore, the nerves and blood vessels which control erections are closely associated with the prostate gland. It follows that when prostate cancer treatment is directed to the prostate, it can, in fact, damage any of these structures and with it the ability to achieve an erection.
Every person's experience is unique. Some individuals may notice only short-term changes, while others may notice changes that linger for long periods of time. A lot of this hinges on the cancer stage, the chosen treatment, as well as the person's general well-being prior to the treatment.
Prostate cancer is treated in ways that may have varying impacts on sexual function. Some of the most common procedures, and what to expect from them, include:
Surgical prostate treatment and radical prostatectomy procedures may cut or damage the nerves that control erections. These modern approaches have nerve-sparing surgeries that seek to minimise this damage, but if the cancer is near the nerve, then this cannot be applied. Most men experience erectile difficulties after surgery, but a small percentage may regain function over time.
Radiotherapy is the application of high-energy beams for the destruction of cancer. It has a tendency to affect the delicate nerves and blood vessels that are responsible for sexual function. Unlike surgery, the impact of radiotherapy on erections tends to be gradual. It can take months or years after treatment for effects to be apparent.
Testosterone is known as a male sex hormone which frequently aids in the growth of certain cancers. As such, hormone therapy manages to lower testosterone levels in the body, which slows the growth of cancer. On the other hand, testosterone is important to maintain a healthy sexual desire and performance. Hormone therapy can result in a drop in libido, erectile troubles, body composition shifts with a drop in muscle mass, and a whole host of other symptoms.
Hormone therapy coupled with radiotherapy is common, as is surgery and subsequent radiotherapy. For some individuals, a series of treatments may be necessary to assist in recovery. Combining treatments may heighten the risk of sexual side effects, yet it is manageable.
Prostate cancer can significantly impact body image due to surgery and other treatments. Sexual health can impact self-image and physical health. Taking a hit in confidence can impact relationships in the long run and lead to feelings of anxiousness, frustration, and emptiness.
Understanding and communicating with your partner can clear up any misunderstandings, which can strengthen emotional ties. Additionally, many men find that support groups or counselling can help with the adjustment.
The good news is that with the right treatment, the sexual changes that come after treatment for prostate cancer can be mitigated greatly.
For the majority of men, medications like sildenafil and tadalafil may enhance erections. In some situations, a vacuum erection device, penile injection, or even a penile implant may be advised. These options may seem overwhelming, but many men have found them effective with the right help.
Strengthening the pelvic floor muscles can enhance blood circulation, which in turn can support erections. These exercises are effective and can be done in the privacy of your own home.
Your treatment plan will take some time, and your body will need some time to heal. Many men report gradual improvement over the span of several months or even years. Being patient and trying other forms of intimacy can help you keep a healthy bond with your partner in the meantime.
Sexual health experts, physiotherapists and psychologists can assist with your healing journey. You don't have to navigate these changes by yourself, and specialists can provide impactful support.
While erections are a common area of focus, intimacy encompasses much more than just penetrative sex. It also includes gentle touch, proximity, and affection. Many couples report that they discover new ways of intimacy during and after prostate cancer treatment, which strengthens their relationship.
Understanding how sex life may change due to prostate cancer treatment allows proper preparation and informed choices to be made. As with all treatment options, it's important to discuss with the healthcare team:
Treatment of prostate cancer may result in some changes to sexual health; however, changes do not have to signal the end of intimate life. Understanding the reasons for changes, treatment options, both with partners and health care providers, can help take control of the sexual wellness journey. Each journey is unique, and most importantly, takes time. With support, many men are able to move on to a new and satisfying life, often discovering a new normal.Â
1. Will Lose Sexual Function Following Prostate Cancer Treatment?
Not Always. Sexual dysfunction can occur from several different factors, including treatments, pre-existing conditions, and one's general health. Some men, especially with the right support, can return to most or all of their functions.
2. When Can I Resume Sexual Activity Following Treatment?
This will depend on the procedure done, as well as the physical and emotional state. For some, it can be weeks and months for others. Your health team will be able to assist with custom advice.
3. Will Lifestyle Changes Help Boost Sexual Function Post Prostate Cancer Treatment?
Yes. Sustained regular physical activity, healthy dieting, pelvic floor exercises, and refraining from smoking and drinking alcohol will all assist in the recovery and sexual health.