Prostate cancer dating
You may not have a friend or family member who can be there for you like a partner could be. Some of the scars left by cancer are clearly visible. But these private scars can be just as painful, because the few people who do see them are often the ones whose acceptance matters most. Perhaps the most private scar left by cancer is the damage done to how you see yourself.
Cancer, Sex, and Single Men
There's also more information in our How to manage sex and relationships guide. Prostate cancer can affect your sex life in three overlapping ways - your mind, body and relationships. Treatment can damage the nerves and blood supply needed for erections. Hormone therapy can affect your desire for sex. When you're sexually aroused turned on your brain sends signals to the nerves in your penis. The nerves then cause blood flow in to your penis, making it hard.
Anything that interferes with your nerves, blood supply or desire for sex libido can make it difficult to get or keep an erection. You may hear this called erectile dysfunction or impotence. Hormone therapy can also lower your desire for sex and the lack of activity means your penis will stop working so well. Certain medicines, feeling low or anxious and lifestyle factors such as smoking, drinking too much alcohol or being overweight can also cause erection problems.
A group of drugs called PDE5 inhibitors phosphodiesterase type 5 inhibitors could help you get an erection. These include:. You need to be sexually aroused for the tablets to work. The tablets normally start to work about 30 minutes to an hour after taking them. You can take sildenafil, avanafil and vardenafil when you need to. They will keep working for four to six hours or up to eight hours for vardenafil. So if they work you should be able to get an erection if you're sexually aroused during that time.
You can take tadalafil when you need to. It can work for up to 36 hours so it lets you be more spontaneous. Or your doctor may suggest you take a low-dose 5mg tadalafil tablet every day. Nitrates are usually used to treat heart problems and are used in some recreational drugs called poppers. If you have a heart problem or take nitrates ask your doctor or specialist about other ways to treat erection problems. Erection problems can also be treated with drugs using an injection that you give yourself.
Your nurse or doctor will show you how to inject the side of your penis with a very thin needle. The erection will last for up to an hour. With the pellet, it helps if your urethra, which is the tube you urinate through, is already moist, so urinate first. With the cream, you or your partner can rub in any cream that's left on the tip and massage your penis to help it absorb the drug. If the pellet works you should get an erection within minutes which lasts for up to an hour.
The cream may take a little longer to work. You use a pump and a plastic cylinder to create a vacuum which makes the blood flow into your penis. This can give you an erection. After using the pump to get an erection, you slip a constriction ring from the end of the cylinder around the base of your penis. This stops most of the blood escaping when you remove the pump. You shouldn't wear the ring for longer than 30 minutes at a time. The vacuum pump can be an effective way to get an erection hard enough for penetration.
It may also help maintain the length and thickness of the penis if used regularly and soon after surgery. This involves having an operation to put an implant inside your penis. Although it sounds quite off putting, it can be a good option if other treatments haven't worked. There are two main types:. Because getting an erection also relies on your thoughts and feelings, tackling any worries or relationship issues as well as having medical treatment for erection problems, often works well.
Keeping a healthy weight , stopping smoking and doing pelvic floor exercises may help improve your erections. Your GP, hospital doctor or nurse can prescribe treatment for erection problems for free on the NHS, whether it's for sex or masturbation. There may be a limit on how much treatment they can prescribe, but there is no age limit. It can be difficult talking about sex, but talking to your doctor, nurse or other health professional will mean you can get treatment and support.
You can ask about sexual problems at any stage - before, during or after your prostate cancer treatment. Talking about it before your treatment will mean you know what to expect and can help you to prepare to start treatments for sexual problems soon afterwards. Your team should ask you about your erections and sex life during your treatment for prostate cancer. But if they don't then you may need to bring it up yourself. Not everyone is used to talking about sex.
You might need to bring it up more than once, or with a different person in your team. You can also ask to be referred to an expert in sexual problems or an ED clinic - they will be used to talking about sexual problems. This is because some types of hormone therapy lower your testosterone levels, which is what gives you your sex drive. Read more about how hormone therapy affects you.
If you're on long-term hormone therapy, ask your doctor or nurse about intermittent hormone therapy. This is where you stop hormone therapy when your PSA level is low and steady, and start it again if it starts to rise. Your desire for sex may improve after hormone therapy is stopped, but this can take several months. You might want to try treatments for erection problems, even if your sex drive is low.
Some of the treatments for erection problems may still work for you. Your thoughts and feelings If you are feeling stressed or down then you may have less interest in sex. Tiredness All treatments for prostate cancer can cause tiredness fatigue. This can be during and after treatment. If you're feeling very tired - you may lose interest in sex or not have enough energy for it. Other side effects Other side effects of prostate cancer treatments such as urinary and bowel problems can affect your sex life.
Physical changes caused by hormone therapy, such as weight gain or breast swelling, may make you feel embarrassed and less interested in sex. Some men notice that their penis is shorter after surgery radical prostatectomy. Some men notice other changes such as a curve in their penis or a narrower area. We don't know for certain why these changes happen, but it could be because of low oxygen levels in the penis, caused by not having erections.
Other treatments such as hormone therapy with radiotherapy may also cause changes to the size of your penis. Encouraging blood flow to the penis after surgery may help prevent this. In particular, using a vacuum pump, either on its own or with PDE5 inhibitor tablets could help maintain your penis size and improve erections. Although you may not be ready or recovered enough for sex, you can still start treatment for erection problems in the weeks immediately after surgery.
It could be taking a low-dose PDE5 tablet once a day or using a vacuum pump, or sometimes both together. The treatment along with masturbation encourages blood flow to the penis. This can help keep your penis healthy. You may hear this called penile rehabilitation. Think of it in the same way as having physiotherapy if you had injured your arm or leg. Starting treatment soon after surgery may help improve your chance of getting and keeping an erection.
But it may not work for every man. After prostate cancer treatment you will still have feeling in your penis and you should still be able to have an orgasm, but this may feel different from before. Some men lose the ability to orgasm, especially if they're on hormone therapy. If you've had radical prostatectomy , you will no longer ejaculate when you orgasm. This is because the prostate and seminal vesicles, which make some of the fluid in semen, are both removed during the operation.
Instead you may have a dry orgasm - where you feel the sensation of orgasm but don't ejaculate. Occasionally, you might release a small amount of liquid from the tip of your penis during orgasm, which may be fluid from glands lining the urethra. With radiotherapy, brachytherapy and HIFU you may also notice a small amount of blood in the semen. This usually isn't a problem but tell your doctor or nurse if this happens.
Some men on hormone therapy say their orgasms feel less intense. This is where the semen travels backwards into the bladder when you orgasm, rather than out through your penis. The semen is then passed out of the body when you next urinate. It isn't harmful and shouldn't affect your enjoyment of sex but it may feel quite different to the orgasms you're used to.
Some men leak urine when they orgasm, or feel pain. Others find they don't last as long during sex and reach orgasm quite quickly. After prostate cancer treatment you might not be able to have children naturally.
The sample for this study included 17 unpartnered prostate cancer . (cough) noted an elevation in my PSA at a regular examination date. The single man and cancer. Getting through cancer treatment can be harder in some ways for a man who’s not in a long-term relationship. When dating, people who have had cancer often avoid talking about it.
I know I have one case where I waited to long, it became obvious…my guy was disapointed and we ended our relationship. Just say that i find you very attractive or interesting to be with and would love to date you. Not a big deal about it. Tell your partner your concern about their feelings, and ask them their opinion. Too often we guess what other people might think or feel without actually getting their direct input.
As with any disease, when prostate cancer strikes, its reach goes beyond the patient. Entire families feel the impact.
Share Hutch News. From the moment Chris Pearce and Mary Milburn began dating several years ago, they felt a strong spark.
Sex and relationships
The purpose of this study was to examine how men without partners make decisions about prostate cancer treatment, manage treatment side effects, and obtain information and support. In , it was projected that over , men were diagnosed with prostate cancer. While treatment options vary, these options result in changes within the man that can affect his quality of life. In addition, spouses are the major providers of emotional support and physical care. However, little is known about how men without partners cope with prostate cancer.
Gay Prostate Cancer – Partners and Dating
I had the surgery 5 years ago. I now have the usual ED thing in which no treatment has worked to get me "erectiled" again. Dating has been interesting to say the least. Once guys learn the cock does not get hard, they accuse me of not being attracted to them , or worse, "Oh, I am not interested". I am single, lonely and want meet a man with substance. Congrats on the 5 years!!! Luckily I'm married to an awesome man who has helped me through this but he wasn't always "there for me". I used to be almost exclusively top but I've learned to b a good bottom!!!! Hang in there buddy! You sure just haven't met the right guy yet, be positive and keep your head up..
Tell Congress to stop Rx greed and cut drug prices now! Best chance of preserving sexual function:
The experiences of unpartnered men with prostate cancer: a qualitative analysis
You Can Have Sex After Prostate Cancer
Preserving intimacy after prostate cancer
.Prostate Cancer - Causes, Symptoms and Treatment Options