Introduction:
Men undergoing cancer treatment may face changes in their sexual lives both during and after therapy. While you may not have the same energy or desire for sexual activity as you did before therapy, being intimate with and feeling close to your spouse or partner is likely still vital.
Your doctor or nurse may discuss how cancer treatment may influence your sexual life, or you may need to be proactive and ask questions such as, “What kind of sexual changes or problems do guys who receive this type of treatment experience?” What kind of birth control or protection is advised during treatment?
Cancer treatment and erectile dysfunction
Surgery: Pelvic surgery can cause alterations to the nerves and blood vessels that control erections, making it more difficult to achieve and maintain erections. Even “nerve-sparing” surgery can harm the nerves that create the fluid that makes up ejaculate. You may also experience little or no ejaculation. This is not dangerous and should not limit your ability to have an orgasm.
Radiation therapy: The chance of having ED following radiation therapy rises with age. If you had poor erectile function before treatment, you may be more likely to develop ED thereafter. Radiation may also induce dry ejaculation.
Chemotherapy: Although chemotherapy seldom causes erectile dysfunction, it might have an impact on your sexual health. Your desire may change with treatment.
Hormone therapies: Hormone therapy can result in a loss of sexual desire (libido), erectile dysfunction, and trouble achieving orgasm.
Treatment options for erectile dysfunction
ED is a typical issue after cancer treatment. Consult your healthcare practitioner about ED. Attempt not to feel humiliated. Regaining erectile function after surgery for pelvic, colorectal, or anal malignancies might take up to two years. To achieve the best results, penile rehabilitation should begin as soon as possible following surgery. There are treatments available to assist with the restoration and maintenance of erections. Your healthcare practitioner can advise you on the best treatment option for you.
Vacuum Constrictive Devices: A pump that you apply to your penis. As the cylinder pumps air out, blood is pulled into your penis, causing an erection. A ring glides over the base of the penis to keep blood in the tissues, allowing an erection to last up to 30 minutes.
Oral meds: There are several oral drugs available to assist men to achieve and sustain an erection. Viagra, Cialis, and Levitra are some of the drugs available.
Injections into the penis: Medicines can be injected into the side of your penis to increase blood flow. Prostaglandin E1 is the most often utilized injectable medication. This medication’s dosage is usually modified based on how long the erection lasts.
The Muse System: This mechanism also employs prostaglandin E1. Instead of an injection, an applicator is used to insert a tiny suppository into the urethra.
Penile prostheses, often known as implants: A guy can choose between several types of penile prosthetics. Some are pliable (flexible) rods that are inserted into the penis. Most men today use inflatable prostheses that can be inflated and deflated as needed.
Sex therapy: This is advised for those who have anxiety-related erection issues. Typically, you and your spouse both participate in treatment sessions.
Lifestyle changes: Weight loss, exercise, and quitting smoking could also assist.
Cancer therapies may create sexual issues in males
Many of the difficulties that restrict a man’s sexual activity throughout treatment are temporary and vanish when treatment is done. Other negative effects may be long-term or develop after therapy.
During the course of treatment, chemotherapy may reduce your testosterone levels and libido. You may be advised to use a condom because semen may contain residues of chemotherapy for some time after treatment. Chemotherapy does not typically impair your capacity to get an erection.
External-beam radiation therapy to the pelvis and brachytherapy (also known as internal radiation therapy) can have an impact on a man’s sexual performance. Erectile dysfunction occurs when blood vessels or nerves are compromised and it becomes difficult to obtain or maintain an erection. A dry orgasm could occur if your prostate is damaged.
Hormonal therapy can lower testosterone levels and impair a man’s sexual desire. Discover more about the side effects of Hormone Therapy for Prostate Cancer.
Heart disease, high blood pressure, diabetes, and smoking can all influence your sexual health.
Antibacterial soaps
 These have traditionally been regarded as a highly effective method of combating hazardous infections and bacteria.
However, they typically contain triclosan and triclocarban, which can be extremely detrimental to your health.
According to the FDA, it has been linked to antibiotic-resistant microorganisms and is not biodegradable.
Gas space heaters
 Anything propelled by gas produces poisons. If you use them indoors, you are in significant danger of carbon monoxide poisoning.
Worse, this illness has virtually no warning symptoms.
Changes in your sexual behavior
Cancer treatment-related side effects can have an impact on your sexual life. Some adverse effects may occur if cancer therapy has a direct impact on your pelvic region or hormone levels.
You might find our knowledge about the body and sex useful.
Not everyone will experience the negative effects listed here. You might experience adverse effects or questions that are not addressed in this information. It’s also worth noting that more than simply physical changes might have an impact on your sexual health and relationships.
- Cancer and relationships
- The emotional consequences of cancer
- Side effects affecting the vagina and pelvis
Tips for having a healthy sexual life
If a person loses sexual function as a result of prostate cancer therapy, there are numerous solutions available to assist them find joy in sex again or regain former sexual function.
Rehabilitating the penis
A person can achieve an erection by a variety of procedures, including:
- Oral medicines, such as avanafil (Super Avana), sildenafil (Cenforce 100), tadalafil (Vidalista 20), and vardenafil (Vilitra)
- Cream to apply on the penis, such as Alprostadil
- Other medications that are available in injectable or pellet form
- Suction pumps capable of drawing blood into the penis before intercourse
Overcoming Sexual Anxiety
You may not be able to be as spontaneous as you once were due to a cancer-related illness or medication side effect. The most important thing is to bring up the idea for conversation and start planning some relaxed time together.
Masturbation is not required to continue your sex life, but it may be helpful. It can also help you identify areas where you may be tender or sore, allowing you to inform your spouse about what to avoid.
Sexual action with your spouse
During and after cancer treatment, you can learn to enjoy sex just as much as you did when you first started.
Depending on the circumstances, you may feel shy. It may be difficult to communicate to your partner that you want physical contact, so be as plain and direct as possible.
Last Words:
Prostate cancer and ED have similar risk factors, and some research indicates that the risk of prostate cancer is increased in persons who already have erectile dysfunction. You could consult an urologist, who can provide treatment for erectile dysfunction and other sexual issues.
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