Testicular cancer is a serious condition that can significantly impact various aspects of your health, including your sexual function. While testicular cancer itself may not directly cause erectile dysfunction (ED), the treatments for this type of cancer—such as chemotherapy, radiation therapy, and surgery—can lead to sexual dysfunction. Many men who undergo treatment for testicular cancer experience some form of sexual health issue.

At Genesis Lifestyle Medicine, we specialize in comprehensive health care, including hormone therapy and sexual wellness treatments that can help you manage and improve your sexual health, even after testicular cancer. We provide personalized care to support your overall well-being and help restore your confidence in your sexual health.

What is testicular cancer?

Testicular cancer is a disease that occurs when abnormal cells in the testicles grow uncontrollably, forming a lump or tumor. These tumors can be malignant, meaning they can spread to other parts of the body, including the lymph nodes or lungs.

Although testicular cancer is relatively rare, it is most commonly diagnosed in men between the ages of 15 and 35. The testicles play a crucial role in producing sperm and the male hormone testosterone, which is essential for sexual function, mood, and energy levels. When cancer affects the testicles, it can disrupt these functions and lead to sexual dysfunction.

Testicular cancer is one of the most treatable cancers, with a high cure rate when caught early. However, the treatments used to eliminate the cancer, such as surgery, chemotherapy, and radiation, can have significant side effects that affect sexual health. It’s important to understand these potential impacts to be proactive about your sexual well-being.

What are the warning signs of testicular cancer?

Testicular cancer often develops without noticeable symptoms in its early stages. However, there are several warning signs that could indicate the presence of this condition. Being aware of these signs is important for early detection and timely treatment.

Lumps or swelling in the testicles

The most common and obvious sign of testicular cancer is the presence of a lump or swelling in one of the testicles. This lump may be painless at first, but it can grow over time. It’s important to perform regular self-exams to check for any irregularities. If you notice a lump or swelling, it’s essential to schedule a visit with your doctor to rule out testicular cancer.

Pain or discomfort in the groin or abdomen

Pain or discomfort in the lower abdomen or groin area can be another sign of testicular cancer. This pain may be dull or sharp, and it may come and go. It can also radiate to the lower back or legs. If you experience persistent pain or discomfort, seek medical attention.

Fluid buildup in the scrotum

Fluid buildup in the scrotum, also known as a hydrocele, can occur due to testicular cancer. This results in swelling or enlargement of the scrotum, which may feel heavy or uncomfortable. While not all cases of fluid buildup are linked to cancer, it’s important to get it checked.

Testicular atrophy

Testicular atrophy, or the shrinking of one or both testicles, can be a sign of testicular cancer. This may happen as the tumor grows, affecting the normal function of the testicles. If you notice any change in the size or shape of your testicles, seek medical evaluation.

Gynecomastia

Gynecomastia refers to the enlargement of breast tissue in men, which can occur as a result of hormonal imbalances caused by testicular cancer. The tumor may produce elevated levels of estrogen, a female hormone, leading to this condition. If you notice unusual breast tissue growth, it’s important to consult your doctor.

Can testicular cancer cause ED?

Yes, testicular cancer can contribute to erectile dysfunction (ED), though the primary cause is often related to the treatments used to combat the disease rather than the cancer itself. Many men who undergo treatments for testicular cancer, such as surgery, chemotherapy, or radiation, experience sexual dysfunction as a side effect. These treatments can damage the testicles and disrupt hormone production, which is crucial for maintaining erectile function.

Below are some of the reasons you may experience ED during or after testicular cancer.

Hormonal imbalances due to testosterone production

Testicular cancer directly affects the testicles, which are responsible for producing testosterone. When one or both testicles are removed or damaged due to cancer treatment, testosterone levels may decrease, leading to erectile dysfunction. Low testosterone can cause a lack of sexual desire, difficulty achieving or maintaining an erection, and overall fatigue.

Surgery and radiation therapy

In cases where surgery is required to remove the affected testicle or lymph nodes, the remaining testicle may still produce testosterone. However, radiation therapy, which targets the cancerous area, can damage healthy tissue, including the remaining testicle. This can lead to a decrease in testosterone production, resulting in ED.

Chemotherapy and nerve damage

Chemotherapy drugs attack rapidly dividing cells, including cancer cells. However, they can also affect healthy cells, including those involved in sexual function. Nerve damage caused by chemotherapy may impair the ability to achieve or maintain an erection. This can lead to long-term erectile dysfunction if not properly managed.

Psychological impacts

The emotional and psychological effects of testicular cancer and its treatments can also contribute to erectile dysfunction. Anxiety, depression, and stress are common among men undergoing cancer treatment, and these mental health issues can directly impact sexual performance and your ability to maintain an erection.

Tips to minimize the risk of testicular cancer and ED

While you can’t completely eliminate the risk of testicular cancer, there are steps you can take to reduce your chances and support your sexual health.

• Perform regular testicular self-exams
• Maintain a healthy lifestyle with a balanced diet
• Avoid smoking and excessive alcohol consumption
• Stay physically active to improve blood circulation
• Manage stress and prioritize mental health
• Schedule regular physical checkups and cancer screenings

How to deal with ED after testicular cancer?

If you experience erectile dysfunction after testicular cancer treatment, it’s essential to address the issue with your doctor. Treatment options are available to help you regain sexual function and improve your overall quality of life. At Genesis Lifestyle Medicine, we offer a range of solutions to manage ED, including hormone therapy, P-Shot, GAINSWave therapy, and more.

Our team will work with you to develop a personalized plan tailored to your needs and help you restore your sexual health. We are committed to supporting you through your journey to recovery and helping you maintain a healthy, fulfilling sexual life. Schedule a consultation today!