Sex after testicular cancer

Men may resume sexual activity after the removal of a testicle as soon as they feel well enough to do so. One man said that he had sex two days after the operation, but he found it was ‘sore and painful’. Most men waited a few weeks before resuming sexual activity, mainly because they felt tender where the incision had been made in the groin area. One man said that he enjoyed sex more after his operation. However, there may be a decrease in libido (sexual desire), at least for a while, and this can lead to temporary erectile problems. Some men may feel a bit anxious the first time they try to have sex after surgery.

Explains that the operation to remove a testicle made no difference to his sex life.

Age at interview 28

Gender Male

Age at diagnosis 27

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Explains that the operation made no difference to his sex life or to his relationship with his wife.

Age at interview 37

Gender Male

Age at diagnosis 37

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Reassures men that sex is just as good as it was before the operation to remove a testicle.

Age at interview 51

Gender Male

Age at diagnosis 46

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Explains that although he was anxious about sex it was just the same as always, and he wasn’t…

Age at interview 50

Gender Male

Age at diagnosis 33

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The effect of chemotherapy on semen (the liquid that contains the sperm) is uncertain, so men are usually advised to use a condom during this treatment, and for about a month after treatment. This protects the man’s partner and avoids any stinging sensation. However, one man recalled that he continued having sex during chemotherapy without a condom, and that his partner didn’t notice any abnormal sensation. Although there is no evidence that chemotherapy can harm the unborn baby, doctors usually advise men to avoid trying to father a child for a year after chemotherapy treatment.

Explains that he continued to have sex during chemotherapy, and his wife didn’t notice any…

Age at interview 51

Gender Male

Age at diagnosis 46

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Sometimes there are physical reasons for sexual problems. For example, in rare cases when the other testicle isn’t healthy, or when both testicles have been removed, sex is affected because of the lack of testosterone in the body. However, even those who have had a bilateral orchidectomy (both testicles removed) can still have an erection with the help of hormone replacement therapy. (See ‘Hormone Treatment’).

Explains that sex is good, even if both testicles have been removed, with the help of HRT, and a…

Age at interview 50

Gender Male

Age at diagnosis 39

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Occasionally, it is necessary to have additional surgery to remove a tumour or the lymph glands in the abdomen. This operation can sometimes damage the nerves that control the discharge of sperm through the penis (ejaculation). This does not affect a man’s ability to have an erection or an orgasm, and sperm can be stored before surgery so that it is possible to father a child by assisted reproduction (See also ‘Fertility’).

Explains he was no longer able to ejaculate after an operation to remove a lump of scar tissue in…

Age at interview 25

Gender Male

Age at diagnosis 22

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Side effects of hormone treatment

Most men who have lost one testicle due to cancer do not need testosterone replacement. When one testicle has been surgically removed the other one...

Fertility after testicular cancer

The removal of one testicle will not affect a man's ability to father children. However, chemotherapy usually causes infertility during and for a time after...