Cancer treatment for men: Possible sexual side effects
Find out if you're at risk of sexual side effects after cancer treatment and which cancer treatments can cause these side effects.
By Mayo Clinic Staff
Treatment for certain cancers can affect your sexuality, causing a range of signs and symptoms that can make sex with your partner more difficult. But that doesn't mean you can't have a healthy sex life after cancer treatment.
Knowing more about your cancer treatment and how it may affect sexual function can help you find a solution if problems develop.
Pelvic cancers: More likely to cause sexual dysfunction than are other cancers
Men with cancer in their pelvic area are more likely than are men with other cancers to report difficulty resuming sex after cancer treatment.
Sexual side effects are most common after treatment for:
- Bladder cancer
- Colon cancer
- Prostate cancer
- Rectal cancer
Older men are more likely to experience sexual dysfunction after cancer treatment. That's because most older men, including those who haven't had cancer, will experience difficulty with sex at some time.
So older men who've had cancer treatment may experience sexual side effects related to aging rather than to treatment. Or they may find that cancer treatment accelerates the sexual side effects associated with normal aging.
Erectile dysfunction: Most common sexual side effect of cancer treatment for men
A number of sexual side effects can occur as a result of cancer treatment, including:
- Inability to achieve or maintain an erection (erectile dysfunction)
- Difficulty climaxing
- Orgasm without discharge of semen (dry orgasm)
- Weaker, less satisfying orgasms
- Loss of interest in sex
- Pain during sex
- Less energy for sexual activity
- Feeling less attractive
Not every man with cancer will experience sexual side effects. Your doctor can discuss the level of risk you may encounter for your specific type of cancer and treatment.
Cancer can cause sexual side effects if the cancer involves sexual organs. Cancers that do not affect the sexual organs can also affect your sexuality by changing your body image, making you feel less attractive, or causing fatigue or depression and decreasing interest in sex.
Sexual difficulties can also result from side effects of cancer and its treatment, such as fatigue, pain or anxiety about your treatment. In addition, depressed feelings about having cancer could cause a loss of libido.
Sometimes emotional factors may have sexual side effects in addition to the physical changes you undergo during treatment.
April 28, 2017
See more In-depth
- Sexuality and fertility problems (men). National Cancer Institute. https://www.cancer.gov/about-cancer/treatment/side-effects/sexuality-fertility-men. Accessed Jan. 21, 2017.
- Survivorship. Fort Washington, Pa.: National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. Accessed Jan. 4, 2017.
- Sexuality for the man with cancer. American Cancer Society. http://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-effects/sexuality-for-men-with-cancer.html. Accessed Jan. 21, 2017.
- Dizon DS. Overview of sexual dysfunction in male cancer survivors. http://www.uptodate.com. Accessed Jan. 21, 2017.
- Zhou ES, et al. The primary health care physician and the cancer patient: Tips and strategies for managing sexual health. Translational Andrology and Urology. 2015;4:218.
- Niederhuber JE, et al., eds. Reproductive complications. In: Abeloff's Clinical Oncology. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2014. http://www.clinicalkey.com. Accessed Jan. 4, 2017.
- Penile cancer treatment (PDQ) patient version. National Cancer Institute. https://www.cancer.gov/types/penile/patient/penile-treatment-pdq#section/all. Accessed Jan. 21, 2017.
- Mahesan T, et al. Advances in penile-preserving surgical approaches in the management of penile tumors. Urology Clinics of North America. 2016;43:427.
- Melmed S, et al. Sexual dysfunction in men and women. In: Williams Textbook of Endocrinology. 13th ed. Philadelphia, Pa.: Elsevier; 2016. https://www.clinicalkey.com. Accessed Jan. 4, 2017.
- Moynihan TJ (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 1, 2017.
- Managing radiation therapy side effects: What men can do about changes in sexuality and fertility. National Cancer Institute. https://www.cancer.gov/publications/patient-education/radiation-side-effect-men-fertility.pdf. Accessed Jan. 21, 2017.
- Managing chemotherapy side effects: Sexual and fertility changes in men. National Cancer Institute. https://www.cancer.gov/publications/patient-education/chemo-side-effect. Accessed Jan. 21, 2017.