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SEXUALITY & MASCULINITY

-Does testicular cancer and its treatment affect sexual function?
-Does testicular cancer treatment affect masculinity?
-Is testosterone replacement necessary after testicular cancer treatment?
-What are testicular implants?

Does testicular cancer and its treatment affect sexual function?

Note:
Testicular cancer and its treatment generally do not affect sexual activity.

Many men find that testicular cancer and its following treatment do not affect their sexual performance in any way.

However the stress and anxiety of cancer can affect sexual function.  In the same way, concerns about changes in body image can also cause problems.

If relevant and where possible, it is recommended that partners be involved and informed about the diagnosis, treatment and likely outcomes.  Support and understanding will help in keeping ongoing sexual function.

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Does testicular cancer treatment affect masculinity?

Testicular cancer treatment does not normally affect masculinity.  The removal of one testis because of cancer does not usually affect hormone levels.  The body adjusts, with the remaining testis producing enough testosterone so that all the important effects of the male sex hormone, such as muscle and bone strength, sex drive and energy levels are kept.

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Is testosterone replacement necessary after testicular cancer treatment?

In a small number of men, testosterone therapy may be needed after the removal of a single testis to keep levels of the male sex hormone, testosterone.  A referral to an endocrinologist, who specialises in the management of hormone levels, may be needed if there are concerns about strength, energy levels and changes to aspects of virility.

Some men whose cancer comes back have the second testis removed.  These men must receive life-long testosterone replacement.  Testosterone is important for general health, well-being and sexual function.

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What are testicular implants?

Testicular implants are prostheses or artificial devices made of moulded silicone and filled with a salt solution.  Some men choose, for cosmetic or psychological reasons, to have implants to replace the cancerous testis that has been surgically removed.  Implants can be inserted during or after cancer treatment and give the appearance of a normal scrotum.  The implants serve no physiological function and the decision to have one inserted is a very personal one.

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  Last updated Tuesday, 29 November 2005    
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