Yes, men with prostate cancer can still engage in sexual activity. However, each person’s experience may vary and depends on a number of variables, such as the stage of the cancer, the type of treatment used and any side effects that may impair sexual function.
Here’s a more comprehensive look at how prostate cancer can affect sexual activity and what solutions are available to reduce these effects:
The Effect of Prostate Cancer on Sexual Function
The prostate, a small gland the size of a walnut, is located in the pelvis. It is responsible for producing the fluid that contributes significantly to semen. The most common cancer in men is prostate cancer, which typically affects men over the age of 50.
There are several ways prostate cancer affects sexual function. Erectile dysfunction (ED), or the inability to achieve or maintain an erection strong enough for sexual activity, is one of the most common side effects of prostate cancer treatment. This may be caused by the cancer itself or by cancer treatments such as radiation therapy or surgery.
Decreased libido is another side effect of prostate cancer treatment (libido). This may be the result of physical changes or emotional changes related to a cancer diagnosis and treatment, such as stress, anxiety, or depression.
Options to Manage Sexual Side Effects
Despite these challenges, it is crucial for men with prostate cancer to be aware of their options for dealing with the negative effects of the disease and treatment on their sexuality. Various possibilities are:
Medications: A variety of medications are available to treat ED (alprostadil), including phosphodiesterase inhibitors (such as sildenafil, tadalafil, and vardenafil) and prostaglandin E1. The way these medications work to help men achieve and maintain an erection is by increasing blood flow to the penis.
Penile injections: Additionally, alprostadil may be given as a penile injection administered directly into the penis. This option, which can be applied by the man at home, may be more effective for some men.
Penis pumps: You can also use penis pumps, which are penis constriction devices, to help with erection. These mechanisms function by drawing blood to the penis and creating a vacuum cleaner around it, making the penis erect.
Penile implants: Penile implants, which are surgical devices inserted into the penis, may be an option for men who do not respond to other forms of treatment. These implants, which can be inflated or shaped, can be used to achieve an erection strong enough for sex.
Counseling: Some men’s sexual function may be affected by the psychological side effects of prostate cancer and its treatment. It may be helpful to consult with a therapist or sex therapist to address these emotional issues and improve sexual function.
Alternative forms of sexual expression: It is very important to explore non-penetrative forms of sexual expression for men with prostate cancer and their partners. Oral sex, manual stimulation, and mutual masturbation are examples of non-penetrative sexual activities that may fall into this category.
Many factors can affect sexual function, including prostate cancer treatment. Men with prostate cancer have options to manage these side effects and maintain a satisfying sexual life. Men with prostate cancer should talk to their healthcare team about their concerns and treatment options, and seek support from a therapist or sex therapist if necessary.
Men with prostate cancer should openly discuss any concerns or changes they may have regarding their sexual function with their partners. This can promote mutual understanding as well as a sense of closeness and connection.
Men with prostate cancer may find it helpful to seek medical and therapeutic support, as well as connect with others who have gone through similar struggles. Men can connect with others who share their experiences, seek guidance and support, and share their stories in support groups and online communities.
It is also important to remember that many men with prostate cancer lead full, active lives, including satisfying sexual lives. Men with prostate cancer can continue to have satisfying and active sexual lives with the right care and support. Overall, it is very important for men with prostate cancer to look after their physical and emotional health and reach out for help when needed.
Reference: ŞAHİN, D., & ERTEKİN, E. (2009). Physical diseases and sexual dysfunction. First Word.
References: https://www.cancercenter.com/community/blog/2023/06/sex-after-prostate-cancer
Prof. Dr. Gökhan Koç graduated from Gazi University Faculty of Medicine in 2000. After his graduation, he worked as a research assistant in the urology clinic at Tepecik Training and Research Hospital for 5 years and became a specialist doctor in 2007. He currently provides services in urological surgery in İzmir.