Yes, men with prostate cancer can still engage in sexual activity. However, each persons experience may differ and depends on several variables such as the stage of cancer, the type of treatment used, and any side effects that may impair sexual function.

Here is a comprehensive review of how prostate cancer can affect sexual activity and what solutions are available to manage these effects:

The Impact of Prostate Cancer on Sexual Function

The prostate is a small gland about the size of a walnut located in the pelvis. It is responsible for producing fluid that significantly contributes to semen. Prostate cancer is the most common cancer in men, typically affecting those over the age of 50.

There are several ways in which prostate cancer can affect sexual function. Erectile dysfunction (ED), or the inability to achieve or maintain an erection strong enough for sexual activity, is one of the most common side effects of prostate cancer treatment. This can be caused by the cancer itself or by cancer treatments such as radiation therapy or surgery.

Decreased libido (sexual desire) is another side effect of prostate cancer treatment. This may result from physical changes related to the diagnosis and treatment of cancer, or from emotional changes such as stress, anxiety, or depression.

Options for Managing Sexual Side Effects

Despite these challenges, it is very important for men with prostate cancer to be aware of the options available to cope with the negative effects of the disease and its treatment on sexuality. Various possibilities include:

• Medications: Several medications are available to treat ED, including phosphodiesterase inhibitors (such as sildenafil, tadalafil, and vardenafil) and prostaglandin E1 (alprostadil). These drugs work by increasing blood flow to the penis to help men achieve and maintain an erection.
• Penile injections: Additionally, alprostadil can be administered as a penile injection directly into the penis. This option, which can be self-administered at home, may be more effective for some men.
• Penis pumps: Vacuum erection devices, or penis pumps, can also be used to help achieve an erection. These devices work by drawing blood into the penis and creating a vacuum around it to induce an erection.
• Penile implants: Penile implants, which are surgically placed devices in the penis, may be an option for men who do not respond to other forms of treatment. These implants can be inflatable or malleable and are used to achieve an erection strong enough for sex.
• Counseling: Some mens sexual function may be affected by the psychological side effects of prostate cancer and its treatment. Consulting with a therapist or sex therapist can be helpful in addressing these emotional issues and improving sexual function.
• Alternative forms of sexual expression: It is important for men with prostate cancer and their partners to explore non-penetrative forms of sexual expression. Oral sex, manual stimulation, and mutual masturbation are examples of non-penetrative sexual activities that may be considered.

Prostate cancer treatment and many other factors can affect sexual function. Men with prostate cancer have options to manage these side effects and maintain a satisfying sex life. They should discuss their concerns and treatment options with their healthcare team and seek support from a therapist or sex therapist if needed.

Men with prostate cancer should openly discuss any concerns or changes related to their sexual function with their partners. This can foster mutual understanding as well as a sense of intimacy and connection.

Men with prostate cancer may also find it helpful to seek medical and therapeutic support and to connect with others who have gone through similar experiences. Men can share their experiences, seek guidance and support, and connect with others in support groups and online communities.

It is also important to remember that many men with prostate cancer lead full, active lives, including satisfying sex lives. With proper care and support, men with prostate cancer can continue to have fulfilling and active sexual lives. Overall, it is very important for men with prostate cancer to take care of their physical and emotional health and to seek help when needed.

Reference: ŞAHİN, D., & ERTEKİN, E. (2009). Physical illnesses and sexual dysfunction. İlk Söz.

Source: https://www.cancercenter.com/community/blog/2023/06/sex-after-prostate-cancer