Introduction

A reader wrote in expressing their concerns about sexual dysfunction following prostate cancer treatment. At 73 years old, they underwent hormone suppression and radiation therapy in 2015. Although their testosterone levels returned to 435 ng/dL and their PSA levels remained impressively low at below 0.1 ng/mL, they noticed a significant decline in libido over the past six months, reminiscent of the symptoms experienced during treatment. They were unsure if it was necessary to simply accept this new reality, especially since their doctor had declined to check testosterone levels again and warned that hormone replacement therapy could potentially trigger a cancer recurrence.

Understanding Sexual Dysfunction After Prostate Cancer Treatments

Sexual dysfunction is a common aftereffect of prostate cancer treatments. Patients who have undergone surgery often experience immediate erectile dysfunction. For those treated with hormone suppression, the effects can include both low libido and erectile issues, and it typically manifests soon after treatment starts. Radiation therapy can introduce sexual complications, often emerging up to two years post-treatment due to long-term damage to nerves and blood vessels.

Possible Causes of Libido Decline

In this scenario, the decrease in libido could indicate a drop in testosterone levels, and it's crucial to determine this with proper testing. Not all healthcare providers recommend testosterone replacement therapy due to concerns about cancer recurrence, but some evidence suggests it may be safe for certain patients. Discussions with specialists—urologists or oncologists—are essential to weigh the benefits and risks.

Psychological Factors at Play

Many men in similar situations often consider testosterone replacement. However, it is also important to remember that psychological factors, including the stress of a cancer diagnosis and the implications of sexual dysfunction itself, can significantly impact libido.

Treatment Options

Clinics specializing in sexual health can offer a range of treatments, including Viagra, injection therapies, or other alternatives. Though many men may not fully regain their sexual function after treatment, exploring options with a qualified clinic could help improve quality of life.

Conclusion

If you or someone you know is experiencing similar issues after prostate cancer treatment, seeking support and discussing available options with a healthcare provider may provide a pathway to managing these challenges effectively. Your sexual health matters, and finding the right solutions is key to reclaiming a fulfilling intimate life post-treatment.