What are the side effects of prostate cancer treatment?
Prostate cancer treatment can have several side effects, including incontinence, erectile dysfunction, decreased libido, emotional changes, fatigue, and infertility. Here’s what you need to know:
Incontinence: Incontinence is the involuntary leakage of urine, caused by weakened muscles controlling urine flow. It may happen temporarily after surgery (like a prostatectomy) or, in rare cases, become permanent. How to manage it: Lifestyle changes (like reducing caffeine and alcohol), medications, Kegel exercises, and in some cases, surgery.
Erectile Dysfunction (ED): ED is difficulty maintaining an erection, which can be caused by surgery, radiation, or hormone therapy. Surgery may affect nerves and blood vessels, and hormone therapy lowers testosterone, impacting erections and libido.
How to manage it: Medication, nerve-sparing surgery, and therapy from a sex counsellor. Avoid testosterone therapy, as it can increase cancer growth. Speak with your doctor for options.
Decreased Emotional Wellness: It’s common to feel sad, anxious, or overwhelmed during treatment. The experience can impact self-esteem, independence, and overall well-being.
How to manage it: Seek support from family, friends, counsellors, support groups, or spiritual leaders. Talking about your feelings can help you feel less isolated and more in control.
Fatigue: Fatigue is a feeling of extreme tiredness that doesn’t go away with rest. It can be challenging for those undergoing treatment.
How to manage it: Balance rest with light physical activity, eat a healthy diet, stay hydrated, and ask loved ones for help with daily tasks. Your doctor may also recommend medication.
Infertility: Infertility can result from surgery (which removes the seminal vesicles) or radiation therapy. Men may still experience orgasms but cannot ejaculate.
How to manage it: Consider freezing sperm before treatment if you plan to have children. Consult your doctor about your options.
For more detailed advice, speak to your healthcare provider or contact a support group like the Walnut Foundation.
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