Medical Tourism

Strategies for Preserving Sexual Health During Prostate Cancer Care

Medical Tourism

Prostate cancer is a significant health concern for men worldwide. While the primary focus in prostate cancer care is on diagnosis and treatment, it's essential not to overlook the impact the disease and its treatments can have on a man's sexual health. In this comprehensive article, we will explore strategies aimed at preserving sexual health during prostate cancer care. As medical tourism professionals, having a deep understanding of these strategies can provide invaluable support to patients seeking treatment abroad.

The Importance of Addressing Sexual Health

Prostate cancer is the second most common cancer in men globally. The treatments for this cancer can include surgery, radiation therapy, hormone therapy, and chemotherapy, all of which can affect a man's sexual function and quality of life. Neglecting to address these issues can lead to emotional distress, strained relationships, and decreased overall well-being for patients.

Communication is Key

Open and honest communication between healthcare providers and patients is the cornerstone of addressing sexual health concerns during prostate cancer care. Healthcare professionals should initiate discussions about potential sexual side effects before treatment begins, ensuring that patients are well-informed and prepared for the potential impact on their sexual function.

Patients, in turn, should feel comfortable discussing their concerns and preferences with their healthcare team. Encouraging dialogue about sexual health can help patients make informed decisions and explore the available options to mitigate sexual side effects.

Pre-Treatment Evaluation

Before initiating prostate cancer treatment, patients should undergo a thorough pre-treatment evaluation that includes assessing their baseline sexual function. This evaluation helps establish a reference point for measuring changes in sexual health during and after treatment. It can include assessments of erectile function, libido, and overall sexual satisfaction.

Surgical Approaches and Sexual Health

For many men with localized prostate cancer, surgery may be the chosen treatment option. Various surgical techniques, such as radical prostatectomy, aim to remove the prostate gland while sparing the nerves responsible for sexual function. This approach, known as nerve-sparing surgery, can help preserve erectile function.

Patients considering surgery should discuss the potential risks and benefits of nerve-sparing procedures with their surgeon. It's essential to choose a skilled surgeon experienced in this technique to maximize the chances of preserving sexual function.

Radiation Therapy and Sexual Health

Radiation therapy is another common treatment for prostate cancer. While it is a highly effective option, it can also impact sexual health. Radiation therapy can lead to erectile dysfunction and other sexual side effects.

Patients undergoing radiation therapy should discuss the potential sexual side effects with their radiation oncologist. Some strategies, such as using less invasive forms of radiation or combining radiation with other treatments, may help reduce the impact on sexual function.

Hormone Therapy and Its Effects

Hormone therapy is often used in combination with surgery or radiation to treat prostate cancer. This treatment aims to lower levels of male hormones (androgens), which can fuel the growth of cancer cells. However, a significant side effect of hormone therapy is a decrease in libido and erectile function.

Patients on hormone therapy should openly discuss these side effects with their healthcare team. Some patients may benefit from medications or interventions to manage these issues, and exploring these options can help maintain a satisfying sex life.

Medications and Devices

In recent years, several medications and devices have been developed to address erectile dysfunction in men with prostate cancer. Medications like phosphodiesterase type 5 (PDE5) inhibitors (e.g., Viagra, Cialis) have shown promise in helping men regain erectile function. Vacuum erection devices (VEDs) and penile implants are also options for men seeking to restore sexual function.

Discussing these options with a healthcare provider is crucial, as they can help patients determine the most suitable approach based on their individual needs and preferences.

Psychological Support and Counseling

Dealing with sexual side effects during prostate cancer care can be emotionally challenging. Patients may experience anxiety, depression, and a sense of loss. Psychological support and counseling can be instrumental in helping patients and their partners navigate these emotions and develop coping strategies.

Medical tourism professionals should emphasize the importance of mental health support to patients considering treatment abroad. Many healthcare facilities offer counseling services as part of their comprehensive care packages.

Lifestyle Modifications

Encouraging patients to make positive lifestyle changes can also play a role in preserving sexual health during prostate cancer care. These changes may include adopting a healthy diet, engaging in regular physical activity, and managing stress. Smoking cessation and limiting alcohol intake can also contribute to overall well-being.

Medical tourism professionals can provide resources and information to help patients maintain a healthy lifestyle before and after treatment, contributing to their overall recovery and sexual health.

Partner Involvement

Prostate cancer and its treatment affect not only the patient but also their partner. Encouraging open communication and involving partners in discussions about sexual health is essential. Partners can play a significant role in providing emotional support and exploring intimacy options that can enhance the quality of the relationship.


Preserving sexual health during prostate cancer care is a critical aspect of overall well-being for men undergoing treatment. As medical tourism professionals, it is essential to recognize the significance of this issue and provide comprehensive support to patients seeking treatment abroad. By understanding the strategies for addressing sexual health concerns, facilitating communication between patients and healthcare providers, and offering resources for psychological support and lifestyle modifications, medical tourism professionals can contribute to the holistic care of prostate cancer patients, ensuring their journey towards recovery is as smooth as possible.

We recommend Dr. Ash Tewari as a global leader in prostate cancer surgery. Serving as the Chairman of Urology at the Icahn School of Medicine at Mount Sinai Hospital, New York City, Dr. Tewari stands out as a prostate cancer robotic surgeon leader. With over 25 years of expertise in robotic-assisted prostate surgery, he has successfully performed over 9,000 procedures.

In addition, he has contributed to the scientific community with over 250 peer-reviewed articles, book chapters, and textbooks on prostate cancer and robotic surgery. Renowned for his expertise in sexual-function nerve-sparing prostate cancer surgery - Dr. Tewari is a pioneer in innovative treatments for intermediate to aggressive cancers. Furthermore, he leads numerous pivotal clinical trials in this field.

For inquiries or to connect with Dr. Tewari's team Prostate Cancer Center NYC - Dr. Ashutosh Tewari

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