Having one testicle
you have had one testicle removed there is often no reason why your
ability to father children, sexual performance or sexual appetite
should be affected. The remaining testicle will usually make more
testosterone (the male sex hormone) and sperm to make up for the one
that has been removed. Read a helpful article on sperm banking - Click Here.
you may find that you do feel less like having sex, at least for a
while. This is perfectly normal. Any treatment can make you feel like
this. Other treatment side effects such as tiredness and feeling sick
are bound to have an effect on your libido.
diagnosed with cancer raises a lot of emotions such as fear, anxiety
and anger. All these can affect your libido too. But this is temporary.
After you have got over your treatment and are beginning to come to
terms with having been diagnosed with cancer, you will find your libido
both testicles removed
men are diagnosed with testicular cancer in both testicles. Or it comes
back in the other testicle after you have been treated. If this happens
to you, you will need to have your other testicle removed. After the
operation, you will no longer produce sperm or testosterone. So you
will not be able to father a child unless you have some sperm banked. Read
a helpful article on sperm banking - Click Here.
you have had both testicles removed, you will be given testosterone
replacement therapy. This is necessary to give you a normal sex drive
and so that you can get an erection. Low levels of testosterone can
also cause mood changes and tiredness.
replacement can be given by mouth, injection or simply by rubbing gel
(ANDROGEL) on the skin.
are not very well absorbed, so treatment by mouth is not often used
these days. Injections work well. They can be given into the muscle of
your arm or leg every 2 to 3 weeks. Some research has shown that the
levels of the hormone in your blood are more stable if you have
injections at least every 2 weeks. If the levels are not stable, you
can have mood changes, tiredness and loss of your sex drive between
patches are the newest way to give testosterone replacement. They are
like plasters that give a small dose of testosterone through the skin
all the time. They have very few side effects (just mild skin
irritation in some men) and keep the testosterone levels very stable in
operation for testicular cancer that can affect your sex life is a
retroperitoneal lymph node dissection. This means taking out the lymph
nodes at the back of the abdomen. This operation is not done as often
in the UK as it is in some other countries. But you may need to have it
done if your lymph nodes are still enlarged after radiotherapy or
ejaculation means ejaculating backwards. Your semen and sperm go back
into your bladder instead of coming out of your penis. This will of
course mean that you are infertile. And your orgasms will feel
different because they will be dry.
should I protect my partner?
may be afraid that you can pass on cancer cells to your partner during
sex. This is not true. Cancer is not infectious. But you should use a
condom if you are having chemotherapy, and for three months afterwards.
Doctors don't know enough about how much of the drugs come through in
the semen. So wearing a condom makes sure that your partner is as safe
sensible to use a condom or take precautions to prevent pregnancy for a
while after radiotherapy or chemotherapy. This is because there may be
a chance that your sperm have been affected by the treatment and this
could cause abnormal development of a baby you father during this time.
is no increased risk of you fathering an abnormal baby in the future
after testicular cancer treatment has ended.
about sexual difficulties
may find it difficult to talk about any difficulties you are having
related to sex, both with your doctor and with your partner. After all,
your sex life is very personal. But if you can manage to take a deep
breath and talk to your doctor or nurse, you may find they have a
specialist counselor at the hospital or they may have a sex therapist
you can be referred to.
Remember - your doctor is likely to have
treated many other men with similar problems. Try not to feel