What are the sexual side effects of prostate cancer treatment?

Treatments for prostate cancer include surgery, radiation therapy, and chemotherapy. One type of surgery, employed in an attempt to cure the disease, is a radical prostatectomy, which involves the removal of the entire prostate, and some surrounding tissues. This major operation, however, can cause permanent incontinence, and frequently results in irreversible impotence, or erectile dysfunction.

Not what we'd consider a win-win situation. A transurethral resection of the prostate, on the other hand, is used to relieve common symptoms of prostate cancer, but it can also cause retrograde ejaculation. Radiation therapy, meanwhile, can cause impotence.

In advanced cases of prostate cancer, you could also try hormonal or other drug therapies. Unfortunately, hormonal therapies almost always result in impotence, and can also lower your sex drive. You may also experience symptoms more commonly associated with menopause, such as hot flashes.

And while we often joke that men should experience the agita that all women are forced to live with (menstruation, childbirth, and menopause), in reality, we wouldn't wish it upon our worst male enemy. Orchiectomies (the removal of one or both testicles) are also sometimes employed in advanced cases of prostate cancer, but this form of surgical castration is -- to put it mildly -- an unattractive prospect for most men. In the end, all of these treatments can cause depression, and low self-esteem and body image.

These, in turn, can cause a general lack of interest in sexual activities.

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