Fertility and hormone concerns with testicular cancer
Testicular cancer and its treatment can affect the levels of the male hormone testosterone. If you had one testicle removed, the other testicle usually can make enough testosterone to keep you healthy. If the other testicle has to be removed because the cancer is in both testicles or if a new cancer develops, you will need to take testosterone the rest of your life.
Testicular cancer can also affect whether you can father children (fertility). Often, those with testicular cancer have low sperm counts before surgery. In some, if one testicle is left, fertility returns after the cancer has been treated. But this doesn’t always happen, and some men need to have both testicles removed. That is why men who might wish to father children should think about banking sperm for later use before treatment starts if it is possible.
Be sure to discuss any fertility concerns with your doctor before your treatment begins. For more information, see Testicular Cancer (the detailed guide) and Fertility and Men With Cancer.
Last Medical Review: 01/20/2015
Last Revised: 02/23/2015