Treatment FAQ

how does prostate cancer treatment affect the reproductive system

by Prof. Leonel Douglas V Published 2 years ago Updated 2 years ago
image

Prostate cancer and many of its treatments affect fertility in several ways. For example, if a male has surgery to remove either the prostate gland or the testicles, it will affect semen production and fertility. Also, radiation therapy can affect prostate tissue, damaging sperm and reducing the amount of semen for transporting it.

Prostate cancer and many of its treatments affect fertility in several ways. For example, surgery to remove either the prostate gland or the testicles will affect semen production and fertility. Also, radiation therapy can affect prostate tissue, damaging sperm and reducing the amount of semen for transporting it.

Full Answer

How does prostate cancer affect sexual function?

When the tumor grows large enough, it can block the urethra, which is the tube that carries urine from the bladder to leave the body. In rare cases, prostate cancer may cause erection difficulties, but it does not usually affect sexual function.

How does cancer affect the reproductive system?

Testicles may not make healthy sperm or might make fewer or no sperm at all. The process of sperm ejaculation can be disrupted. In many cases, cancer surgery or treatment can be more likely than cancer itself to interfere with some parts of the reproductive process and affect your ability to have children.

How does radiation therapy for prostate cancer affect fertility?

Radiation for prostate cancer from a machine outside the body is more likely to cause permanent infertility, even if the testicles are shielded. (See Radiation shielding in Preserving Fertility in Men With Cancer)

Can sperm be damaged after prostate cancer treatment?

Sperm can also be damaged, though this occurs far less frequently with more accurate dose planning. For men who wish to father children after treatment for prostate cancer, the best chance for fertility is sperm banking. Semen containing sperm is frozen in liquid nitrogen.

image

Can you still reproduce with prostate cancer?

It is nearly impossible for a man to retain his ability to father children through sexual intercourse after initial treatment. During prostatectomy, both the prostate and the nearby seminal vesicles are removed.

Does radiation for prostate cancer make you sterile?

Radiation therapy. The area the cancer is in -- in this case the prostate -- is targeted. But radiation therapy anywhere around your sex organs or belly area (testicles, bladder, and lymph nodes) can lessen your sperm count and testosterone levels (a hormone linked to sex drive). It can even destroy sperm cells.

Does cancer treatment affect fertility?

Fertility Issues in Girls and Women with Cancer. Treatment for cancer may cause changes to a girl's or a woman's fertility. Many cancer treatments can affect a girl's or woman's fertility. Most likely, your doctor will talk with you about whether or not cancer treatment may increase the risk of, or cause, infertility.

Does prostate problems affect fertility?

The prostate is the target of a number of common diseases that can affect male fertility at different ages. In both young and aged men, prostatic diseases or an unhealthy prostate can affect spermatozoa functioning and, therefore, male fertility.

Where does sperm go after prostate surgery?

After radical prostatectomy (removal of the prostate) or cystectomy (removal of the bladder), a man will no longer produce any semen because the prostate and seminal vesicles have been removed. The testicles still make sperm cells, but then the body simply reabsorbs them.

How long does it take for sperm to come out of a woman?

Sperm can live inside the vagina for up to 7 days. Once sperm enters the uterus, there is no scientifically proven way of removing it. Between a few minutes and several hours after intercourse, some fluid may come out of the vagina.

How does cancer affect the male reproductive system?

Cancer treatments may affect your fertility Chemotherapy (especially alkylating drugs) can damage sperm in men and sperm-forming cells (germ cells) in young boys. Hormone therapy (also called endocrine therapy) can decrease the production of sperm.

How does cancer affect the reproductive system?

A tumor or other problem might press on the ovaries or uterus (womb) and cause them not to work properly. Damage to other parts of the reproductive system prevents eggs from being released, fertilized, or implanted. A fertilized egg cannot grow inside the uterus.

Can a man produce sperm after prostate radiation?

You no longer ejaculate semen if you have had a radical prostatectomy. This is because the prostate gland and 2 glands called the seminal vesicles are removed. The seminal vesicles make the liquid part of the sperm. Your testicles will still make sperm cells but they will be reabsorbed back into your body.

Can you get an erection without a prostate?

About 75% of men who undergo nerve-sparing prostatectomy or more precise forms of radiation therapy have reported successfully achieving erections after using these drugs.

Does the prostate affect sperm?

The prostate's most important function is the production of a fluid that, together with sperm cells from the testicles and fluids from other glands, makes up semen. The muscles of the prostate also ensure that the semen is forcefully pressed into the urethra and then expelled outwards during ejaculation.

Can a man have a baby after chemo?

Fathering a child after cancer treatment Men can try to have a child after cancer treatment ends. There are no firm rules for how long men should wait after treatment, but health care providers usually recommend waiting 2 to 5 years. Sperm may be damaged by chemotherapy or radiation therapy.

What is the best treatment for prostate cancer?

Hormonal therapy. Androgens, such as testosterone, are hormones that are necessary for male reproductive and sexual function, but they also encourage the growth of cancer cells in a person with prostate cancer. One way of treating prostate cancer is to block or reduce the production and use of these hormones.

What is the cancer of the prostate gland?

Prostate cancer, or cancer of the prostate gland, is a disease in which cells in the prostate tissue divide uncontrollably, forming a lump, or tumor. When the tumor grows large enough, it can block the urethra, which is the tube that carries urine from the bladder to leave the body. In rare cases, prostate cancer may cause erection difficulties, ...

What is the procedure to freeze prostate cells?

Cryotherapy is a less invasive procedure in which doctors use probes to freeze prostate cancer cells. However, there is also a risk of nerve damage with this type of treatment.

How common is prostate cancer in men?

Prostate cancer is the most common non-skin cancer in men in the United States. It affects around 13 in every 100. Trusted Source. American men, according to the Centers for Disease Control and Prevention (CDC).

When do men get prostate cancer?

Most men develop prostate cancer after the age of 65 years.

Does radiation kill prostate cancer?

Radiation therapy. Radiation therapy kills cancer cells, but it can also affect the surrounding healthy tissue and possibly the rest of the body too. Radiation therapy for the prostate can result in some loss of prostate function. A more focused type of radiation therapy called brachytherapy may have a lower risk.

Can prostate cancer cause stress?

The psychological effect of a prostate cancer diagnosis can add to stress about sexual performance. It is not unusual to feel anxious and depressed following a cancer diagnosis and during treatment. Anxiety can also lead to relationship stress.

How to father a child after prostate cancer?

For men who wish to father children after treatment for prostate cancer, the best chance for fertility is sperm banking. Semen containing sperm is frozen in liquid nitrogen. After thawing, up to 50% of sperm will regenerate and can be used for artificial insemination.#N#Extracting sperm directly from the testicles might be another option. After harvesting sperm from testicular tissue, a single microscopic sperm is injected into a single microscopic egg. If an embryo forms, it is implanted into the woman’s uterine wall and allowed to grow.#N#The success rates for the two procedures combined—sperm extraction followed by injection of the sperm into the egg—is less than 50%.

What happens after sperm is harvested?

After harvesting sperm from testicular tissue, a single microscopic sperm is injected into a single microscopic egg. If an embryo forms, it is implanted into the woman’s uterine wall and allowed to grow.

Can a man have a child after a prostatectomy?

It is nearly impossible for a man to retain his ability to father children through sexual intercourse after initial treatment. During prostatectomy, both the prostate and the nearby seminal vesicles are removed.

Does radiation affect fertility?

Radiation therapy nearly always impairs fertility. Radiated prostate cells and seminal vesicles tend to produce semen that cannot transport the sperm well. Sperm can also be damaged, though this occurs far less frequently with more accurate dose planning.

How does radiation affect fertility?

This is because radiation at high doses kills the stem cells that produce sperm.

What is the procedure to remove the prostate gland and seminal vesicles?

This is called a radical prostatectomy. The prostate and seminal vesicles are the body parts that together produce semen.

How does chemo work?

When cells are new, they are immature and not functioning fully. Chemotherapy (chemo) works by killing cells in the body that are dividing quickly. Since sperm cells divide quickly, they are an easy target for damage by chemo. Permanent infertility can result if all the immature cells in the testicles that divide to make new sperm (spermatogonial stem cells) are damaged to the point that they can no longer produce maturing sperm cells.

Why does fertility problems develop?

When a baby is conceived naturally, a lot of things must take place for it to happen. Any change in how an organ works or a change in a hormone that's needed for sperm development can block conception.

What are the risks of infertility?

Different types of surgeries and treatments can have different effects. The risk of infertility varies, depending on: The patient’s age and stage of development; for example, before or after puberty, in young adulthood, in older adulthood, etc. The type and extent of surgery.

What is the difference between infertility and fertility?

Male fertility and infertility. Fertility refers to having the ability to conceive, or being able to have a child. For males, fertility means they are able to father a child through normal sexual activity.

What is the procedure to remove bladder cancer?

This procedure is called radical cystectomy .

What are the treatment options for prostate cancer?

Depending on each case, treatment options for men with prostate cancer might include: Observation or Active Surveillance for Prostate Cancer. Surgery for Prostate Cancer. Radiation Therapy for Prostate Cancer. Cryotherapy for Prostate Cancer. Hormone Therapy for Prostate Cancer. Chemotherapy for Prostate Cancer.

What are the things to consider when making a decision about cancer treatment?

Some important things to consider include: The stage and grade of your cancer. Your age and expected life span.

Why do we do clinical trials?

Clinical trials are carefully controlled research studies that are done to get a closer look at promising new treatments or procedures . Clinical trials are one way to get state-of-the art cancer treatment. In some cases they may be the only way to get access to newer treatments. They are also the best way for doctors to learn better methods to treat cancer. Still, they're not right for everyone.

Is treatment information given here official policy of the American Cancer Society?

The treatment information given here is not official policy of the American Cancer Society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor.

Can you continue cancer treatment?

Whether or not you continue treatment, there are still things you can do to help maintain or improve your quality of life.

Can you treat prostate cancer at once?

Treatments for prostate cancer are generally used one at a time, although in some cases they may be combined.

What is the function of the prostate gland?

It is responsible for making seminal fluid, which is the fluid that sustains and carries sperm.

Can prostate cancer affect sexual function?

Sometimes, men who have had or who are undergoing treatment for prostate cancer experience changes in their sexual function. Fortunately, there are things that prostate cancer patients and their health care providers can do to lessen the negative effects of prostate cancer treatment on sexual function and improve their sexual health.

Does Hodgkin's disease cure testicular cancer?

Many patients with Hodgkin's disease, acute leukemia, non-Hodgkin's lymphoma, testicular cancer, and other tumors now regularly achieve sustained clinical remissions and cures. Drugs used in the treatment of cancer have profound and often lasting effects on the testis and ovary.

Does chemotherapy cause ovarian injury?

Combination chemotherapy regimens that include alkylating agents produce germinal aplasia and permanent infertility in the majority of patients. The risk of ovarian injury following combination chemotherapy is clearly related to the age of the patient at the time of treatment.

Can men store semen before chemotherapy?

Interventions to protect the gonads from the effects of chemotherapy have not yet been developed; thus, male patients should be offered an opportunity to store semen prior to treatment and all patients should be counseled concerning the potential gonadal toxicity of cancer chemotherapy.

What is the function of the prostate?

It sits low in the pelvis, below the bladder and just in front of the rectum. The prostate helps make semen, the milky fluid that carries sperm from the testicles through the penis when a man ejaculates.

What is the best treatment for prostate cancer?

These include anti-inflammatory medications and other pain control treatments, such as warm baths. Other medicines, such as alpha-blockers, may also be given. Alpha-blockers relax muscle tissue in the prostate to make passing urine easier.

Why does prostatitis come back?

Chronic bacterial prostatitis: Also caused by bacteria, this type of prostatitis doesn't come on suddenly, but it can be bothersome. The only symptom you may have is bladder infections that keep coming back. The cause may be a defect in the prostate that lets bacteria collect in the urinary tract.

Why does the prostate grow bigger as you age?

How the Prostate Changes As You Age. Because the prostate gland tends to grow larger with age, it may squeeze the urethra and cause problems in passing urine. Sometimes men in their 30s and 40s may begin to have these urinary symptoms and need medical attention.

What is the name of the inflammation of the prostate gland?

Prostatitis is an inflammation of the prostate gland that may result from a bacterial infection. It affects at least half of all men at some time during their lives. Having this condition does not increase your risk of any other prostate disease.

How to tell if you have prostatitis?

Several tests, such as DRE and a urine test, can be done to see if you have prostatitis. Correct diagnosis of your exact type of prostatitis is key to getting the best treatment. Even if you have no symptoms you should follow your doctor's advice to complete treatment.

What are the most common prostate problems?

The three most common prostate problems are inflammation ( prostatitis ), enlarged prostate ( BPH, or benign prostatic hyperplasia ), and prostate cancer. One change does not lead to another. For example, having prostatitis or an enlarged prostate does not increase your risk of prostate cancer.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9