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Prostate cancer and sex

Prostate cancer tends to affect men in their 40s onwards but can be treated effectively if found early. The symptoms above may point to prostate problems and are sometimes felt by men with prostate cancer, but not always. If you are aged 50 or over, you should have yearly checks performed simply by a doctor or at a sexual health clinic.

Situated just below the bladder, the prostate gland is ‘hooked-up’ to the plumbing along which your spunk travels. It is responsible for producing the fluid in which sperm swim, and a secretion keeps the urethra moist.

• It gets bigger as we get older and can sometimes begin to squash the tube that takes piss out of the body
• It can become infected or inflamed, most common between 25-45 years
• It can get enlarged to the size of a small grapefruit if untreated
• Prostate cancer usually occurs in the over-50s but can happen earlier

 Signs and symptoms that something is wrong include:

• Needing to piss often and getting little warning that you need to go
• Finding it hard to start or stop pissing
• Lots of dribbling at the end of a piss
• Finding it a strain to empty your bladder properly
• Leaking or dribbling piss

Men over 50 can ask for a PSA test from a GP. Men are not routinely offered PSA tests to screen for prostate cancer, as results can be unreliable. There are treatments for men with an enlarged prostate gland: contact your GP at a sexual health clinic.

Prostate Cancer | Cancer Research UK
 Prostate cancer: A guide for men who’ve just been diagnosed | Prostate cancer UK
Prostate Cancer | NHS
Prostate Cancer | Movember

Prostate cancer | The Guardian | March 2018

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Love the Glove | Samuel L Jackson on the Graham Norton Show | 27 Jun 2015 | 2m 05s
How Prostate Cancer Works | AsapSCIENCE | 16 Jun 2012 | 3m 42s

Sex after prostate cancer

Generally, most men face some issues having sex after prostate cancer treatment though these are often temporary or treatable. Radiation and/ or surgery to treat prostate cancer can damage these areas making it more difficult to get hard or cum (have an orgasm).

Your prostate sits next to blood vessels, nerves, and muscles to help you get an erection. Treatment side effects may also make you feel less interested in having sex. Be patient though it can feel difficult to cope with, and it's perfectly natural to feel frustrated. With time and the right support, you can likely have a fulfilling sex life after prostate cancer.

 Sex and relationships | Cancer Research UK
 Sex and prostate cancer | Prostate Cancer UK
 Sex life and prostate cancer | Macmillan cancer support
 METRO Walnut prostate cancer support group for gay and bisexual men | Macmillan

Sex and prostate cancer: Martin's story | Prostate Cancer UK | 25 Jan 2013 | 3m 51s
Martin, 58, had a type of surgery called a radical prostatectomy, as well as radiotherapy to treat his prostate cancer. He also had hormone therapy which meant he couldn't get an erection and lost his desire for sex. In this video, Martin talks about his experience of trying different treatments for erections and how the side effects of prostate cancer treatment changed his approach to sex. Disclaimer: These films feature men's personal prostate cancer stories. Everyone's experiences will be different. The films are not intended to provide medical information.

Prostate Cancer in Gay and Bisexual Men: Treatment Side Effects and Decision-Making | Breakthroughs for Physicians | 6 Oct 2021 | 3m 29s
Channa A. Amarasekera, MD, assistant professor of Urology at Northwestern Medicine, discusses his research on the impact of sexual orientation on treatment decision-making and perceptions of sexual side effects from prostate cancer.

More

Prostate gland | MEN R US

Love the Glove | Samuel L Jackson on the Graham Norton Show | 27 Jun 2015 | 2m 05s
How Prostate Cancer Works | AsapSCIENCE | 16 Jun 2012 | 3m 42s

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