Sexual ability after treatment for prostate cancer
Sexual ability may be affected by the treatment you receive for prostate cancer. Impotence (inability to achieve an erection) and loss of libido (sex drive) may occur. If you are impotent, you will also be infertile.
Radical prostatectomy
If you have had a radical prostatectomy, you may have difficulties with your erections. This will depend on the extent of the operation. If you are experiencing problems, please discuss this with your surgeon. The situation may change over time and some improvement may occur.
As the tubes that carry sperm and fluid are removed with your prostate, you will no longer ejaculate although you will still have the sensation of ejaculation and orgasm. This also means that you will be infertile.
Radiotherapy
One third to half of men who have radiotherapy to the prostate area will also experience difficulties with their erections. Radiotherapy affects the cells in your prostate which produce the thick white fluid that mixes with sperm. This means you will have a reduced amount of ejaculate or no ejaculate. You should still experience the sensations of ejaculation and orgasm though. You are likely to be infertile after radiotherapy.
Hormone therapy
Loss of interest in sex and difficulty getting and keeping an erection occurs with all standard hormone therapy.
Counselling
These changes in sexual potency and activity can be very distressing. Many men, regardless of age, find it embarrassing and difficult to discuss such a personal subject. Some men try to ignore the problem.
Most doctors are very understanding and can offer advice or refer you to a therapist who specialises in sexual problems. These specialists can offer help and emotional support on how to cope. If you have a sexual partner, it may be helpful to take them with you so that any fears or worries can be discussed together.