Testicular Cancer and Sexual Health: What Every Man Needs to Know
When Health Gets Personal: Rohan’s Story
Rohan, 29, was in the middle of planning his wedding when he noticed a painless lump in his right testicle. Thinking it was nothing, he ignored it—until a mild heaviness in his groin pushed him to consult a urologist.
The diagnosis: Stage I Testicular Cancer.
He was shocked—not only by the word cancer, but also by the fear that followed:
“Will I ever have kids? Will my partner still desire me? Can I be the same man again?”
These questions haunt many men with testicular cancer. Beyond treatment, the sexual and emotional impact of this diagnosis is rarely discussed, though it’s just as real.
Let’s change that.
What Is Testicular Cancer?
Testicular cancer occurs when abnormal cells grow in one or both testicles. It’s relatively rare but highly treatable, especially when caught early.
Quick Facts:
- Most common in men aged 15 to 40
- Typically affects one testicle
- Survival rate is over 95% for early-stage diagnosis
- Can impact fertility, hormone levels, and sexual health
Why Talk About Sexual Health?
Because even though survival rates are high, the sexual consequences are under-addressed.
Men often don’t bring it up—either out of embarrassment, fear, or the assumption that “everything will go back to normal.” But it’s crucial to address:
- Loss of libido
- Erectile dysfunction
- Body image changes
- Fertility concerns
- Emotional intimacy gaps with partners
FAQ: Your Most Pressing Questions Answered
Will I still be able to have sex after testicular cancer?
Yes. Most men continue to have satisfying sexual lives after treatment. However, some may experience temporary or long-term changes, depending on the type of treatment (surgery, chemotherapy, or radiation).
Does removing one testicle affect testosterone?
Usually, no. The remaining testicle compensates. But in some cases, testosterone levels may drop, affecting mood, energy, and sex drive. Blood tests can monitor this, and hormone replacement therapy may help.
What about fertility?
Before treatment, sperm banking is often recommended. Chemotherapy and radiation may temporarily or permanently reduce sperm production. Talk to an oncologist about fertility preservation.
Can I still father children?
Yes. Many men go on to become fathers post-treatment. But fertility varies, so early discussion about sperm banking is important.
Case Study: Aditya’s Journey Through Recovery
Aditya, 35, underwent orchiectomy (removal of one testicle) followed by surveillance. He was declared cancer-free six months later.
But something wasn’t right.
He avoided intimacy with his wife, felt inadequate, and avoided situations where she might see his body.
“I didn’t feel like a man anymore,” he said. “Even though the cancer was gone, I didn’t know how to rebuild our connection.”
Through therapy, he explored:
- Body image struggles
- Sexual confidence
- Open communication with his partner
- Sensate focus exercises to reintroduce intimacy
In time, he reclaimed both his confidence and his relationship.
Impact on Relationships
Your partner may also be dealing with fear, sadness, or confusion. Many couples struggle silently—each assuming the other is “fine.”
Here’s how to bridge that gap:
- Talk openly: Share your fears and hopes
- Explore intimacy beyond sex: Cuddling, touch, emotional closeness
- Rebuild gradually: Let go of performance pressure
- Consider couples therapy: Especially when emotional or sexual disconnection lingers
The Emotional Side of Sexual Health
Men with testicular cancer often carry:
- Shame about body changes
- Fear of rejection
- Guilt about not feeling “normal”
- Anxiety about the future
Addressing sexual health is not vanity—it’s part of healing. Your identity, confidence, and emotional well-being matter just as much as your physical recovery.
Evidence-Based Solutions That Help
-
Sex Therapy & CBT
Helpful for addressing:
- Performance anxiety
- Low desire
- Negative body image
- Couple’s communication issues
-
Testosterone Replacement (if needed)
Test levels can be measured through a blood test. If deficient, a supervised TRT (testosterone replacement therapy) plan can restore libido and energy.
-
Mindfulness & Sensate Focus
Mindfulness-based approaches and non-goal-oriented intimacy exercises reduce pressure and build connection.
-
Lifestyle Changes
Exercise, sleep, a healthy diet, and emotional regulation help improve sexual function and overall vitality.
April Is Testicular Cancer Awareness Month: What Can You Do?
Know the Signs
- Painless lump or swelling
- Heaviness in the scrotum
- Discomfort or pain in a testicle or the scrotum
Check Yourself Monthly
A simple self-exam once a month in the shower can help you notice any changes early.
Talk About It
Open up conversations with friends, partners, or professionals. Awareness saves lives—and relationships.
Final Thoughts
Testicular cancer is a bump in the road, not the end of the road.
With early detection, open communication, and proper support, men can thrive sexually, emotionally, and relationally after diagnosis.
So if you or someone you know is navigating this journey, remember:
You’re not alone
Help is available
Intimacy can be rediscovered
Your story still matters—and deserves joy
Click here to read our blog on building a healthy relationship.
Need Support?
At Akshaya Medical Centre, we offer:
Sexual Health Counseling for Cancer Survivors
Couple’s Therapy & Psychoeducation
Fertility & Hormonal Screening
Customized Recovery Plans
Book a confidential consultation with Dr. Pavana, Sexual Medicine Specialist & Psychiatrist.
808, above City Union Bank, BEL Layout 3rd Block, BEL Layout, Vidyaranyapura, Bengaluru, Karnataka 560097
9964412348 | 9986636216
[email protected]
Follow us on Instagram @dr.pavanasp for tips & survivor stories
