You’ve been successfully managing your prostate cancer with hormone therapy, but lately, you’ve noticed a shift in how you feel. Your interest in sex has dwindled, leaving you wondering if it will ever return. On top of that, your mood feels different—less vibrant, more irritable, and sometimes even clouded by sadness. These changes can feel like an additional burden.

Hormone therapy for prostate cancer, while effective in controlling the disease, often comes with side effects that impact your emotional well-being and sexual health. It’s a lot to navigate, but you’re not alone. At Genesis Lifestyle Medicine, we understand the challenges you’re facing and are here to provide compassionate care. Let’s explore how hormone therapy affects libido and mood and what you can do to reclaim your sense of self.

How hormone therapy for prostate cancer affects libido and mood

Hormone therapy for prostate cancer lowers testosterone levels, which slows the growth of cancer cells. However, testosterone also plays a vital role in regulating your sex drive and emotional stability. Here are some ways hormone therapy may impact your libido and mood.

Reduced interest in sex (low libido)
One of the most common side effects of hormone therapy is a noticeable drop in sexual desire. Testosterone fuels your libido, and as the treatment reduces its levels, you may find that your interest in sex diminishes. This change can affect your confidence and relationship with your partner, especially if intimacy has always been a significant part of your connection.

Difficulty with erections
Erectile dysfunction (ED) often accompanies hormone therapy. The reduced testosterone levels make it harder to achieve or maintain an erection. While this doesn’t affect every man, it’s a prevalent concern that can add frustration to an already challenging situation.

Emotional changes and mood swings
Hormone therapy doesn’t just affect your body—it impacts your mind as well. With less testosterone in your system, you might experience mood swings, increased irritability, or feelings of sadness. Some men even report symptoms of depression. These emotional changes can feel disorienting, particularly if you’ve always been emotionally resilient.

Fatigue and reduced energy levels
You may notice that your energy levels dip significantly during hormone therapy. Fatigue can make daily tasks feel more difficult, impacting your mood and your ability to engage in activities you once enjoyed. This lack of energy can further exacerbate feelings of frustration or sadness.

Changes in self-esteem
Physical changes, such as weight gain or muscle loss, are common. These changes, combined with the effects on your libido and mood, can lead to a dip in self-esteem. Feeling less like yourself physically and emotionally can make it harder to maintain a positive outlook.

Tips to improve mood and libido while on hormone therapy for prostate cancer

Managing the side effects of hormone therapy is key to maintaining your quality of life. Here are actionable strategies to help improve your mood and libido during treatment.

• Communicate openly with your partner: If you’re in a relationship, it's essential to have honest conversations with your partner about how hormone therapy is affecting you. Share your needs, feelings, and worries. This openness can foster understanding and help you navigate changes together, strengthening your bond despite the challenges.
  
• Seek professional support: A counselor or therapist, especially one experienced in working with cancer patients, can provide tools to manage emotional changes. Additionally, joining a support group can connect you with others who understand what you’re going through.
  
• Explore intimacy beyond intercourse: Sexual intimacy doesn’t have to rely solely on intercourse. Discover other ways to connect with your partner, such as cuddling, kissing, or simply spending quality time together. Exploring new forms of intimacy can help maintain closeness even if your libido isn’t the same as before.
  
• Stay physically active: Exercise is a powerful mood booster. Regular physical activity, such as walking, swimming, or strength training, can help combat fatigue, improve your energy levels, and reduce feelings of depression. It can also support better physical health, mitigating some of the body changes caused by hormone therapy.
  
• Focus on a healthy diet: A balanced diet rich in fruits, vegetables, lean proteins, and whole grains can support overall health and energy levels. Maintaining a healthy weight and providing your body with essential nutrients can positively affect your mood and self-esteem.
  
• Consider medical interventions for ED: If erectile dysfunction is a concern, speak with your doctor about treatments such as ED medications, P-Shot, GAINSWave, and others. Genesis Lifestyle Medicine offers a range of solutions to help you regain sexual vitality.
  
• Practice stress-reducing techniques: Mindfulness, meditation, and yoga are effective ways to reduce stress and improve emotional well-being. Taking even a few minutes daily to focus on relaxation can make a noticeable difference in managing mood swings.
  
• Be patient with yourself: Adjusting to hormone therapy takes time, and it’s essential to give yourself grace as you navigate these changes. Celebrate small victories and remind yourself that seeking help is a sign of strength, not weakness.

Hormone therapy for prostate cancer can bring significant changes to your libido and mood, but these challenges don’t have to define your experience. By understanding what’s happening and taking proactive steps, you can regain control and find new ways to enjoy life. Schedule a consultation at Genesis Lifestyle Medicine, we support you every step of the way, offering personalized care that addresses your physical, emotional, and sexual health. Remember, you’re not alone in this journey—together, we can help you feel like yourself again.