Sexuality for the Man With Cancer

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TOPICS

How cancer treatments can affect sexuality and fertility

    Treatment

    Low sexual desire

    Erection problems

    No orgasm

    Dry orgasm

    Weaker orgasm

    Infertility

 

    Chemotherapy

    Sometimes

    Rarely

    Rarely

    Rarely

    Rarely

    Often

    Pelvic radiation therapy

    Rarely

    Sometimes

    Rarely

    Rarely

    Sometimes

    Often

    Retroperitoneal lymph node dissection

    Rarely

    Rarely

    Rarely

    Often

    Sometimes

    Often

    Abdominoperineal (AP) resection

    Rarely

    Often

    Rarely

    Often

    Sometimes

    Sometimes*

    Radical prostatectomy

    Rarely

    Often

    Rarely

    Always

    Sometimes

    Always

    Radical cystectomy

    Rarely

    Often

    Rarely

    Always

    Sometimes

    Always

    Total pelvic exenteration

    Never

    Often

    Rarely

    Always

    Sometimes

    Always

    Partial penectomy

    Rarely

    Rarely

    Rarely

    Never

    Rarely

    Never

    Total penectomy

    Rarely

    Always

    Sometimes

    Never

    Sometimes

    Usually*

    Orchiectomy (removal of one testicle)

    Rarely

    Rarely

    Never

    Never

    Never

    Rarely**

    Orchiectomy (removal of both testicles)

    Often

    Often

    Sometimes

    Sometimes

    Sometimes

    Always

    Hormone therapy for prostate cancer

    Often

    Often

    Sometimes

    Sometimes

    Sometimes

    Always

*Artificial insemination of a woman with the man’s semen may be possible.
**Infertility happens only if the remaining testicle is not normal

Last Medical Review: 08/19/2013
Last Revised: 08/19/2013