Sexual Symptoms
Introduction to Sexual Symptoms
Sexual symptoms are a common concern for men diagnosed with prostate cancer, as the disease and its treatments can significantly affect sexual health. Prostate cancer and its treatments—such as surgery, radiation therapy, and hormone therapy—can lead to issues like erectile dysfunction (ED), reduced libido, pain during intercourse, and difficulty achieving orgasm. These changes can occur due to the impact on the prostate gland, nerves, blood vessels, and hormone levels that play crucial roles in sexual function. It’s important for men to discuss these symptoms with their healthcare providers, as there are treatments available to help manage or improve sexual function and overall quality of life. Addressing sexual health as part of prostate cancer care can provide support and relief during treatment and recovery.
Difficulty having an erection
Difficulty having an erection can be an early symptom of prostate cancer. While erectile dysfunction (ED) can be caused by various factors, prostate cancer and its treatments—such as surgery, radiation, or hormone therapy—can interfere with the nerves and hormones responsible for erections. ED may occur before other obvious symptoms like pain or urinary problems, making it an important sign to consider for early diagnosis. If ED is accompanied by other symptoms like frequent urination or blood in the urine, seeking medical advice is crucial for early detection and treatment of prostate cancer.

Blood in the urine or semen
The presence of blood in the urine (hematuria) or semen (hematospermia) can be alarming and may signal an underlying medical condition. While these symptoms are not always caused by something serious, they can be associated with prostate problems, including prostate cancer, benign prostatic hyperplasia (BPH), or prostatitis (inflammation of the prostate). Blood in the urine may appear pink, red, or dark brown, and in semen, it may look rusty or blood-tinged. Other potential causes include urinary tract infections, injury, kidney stones, or recent medical procedures involving the urinary or reproductive tract. When blood appears without an obvious cause or is persistent, it’s important to seek medical attention to determine the source and rule out more serious conditions like cancer.

Pain When Ejaculating
Pain during ejaculation, also known as dysorgasmia, can be a distressing symptom and may be linked to underlying prostate issues. In men, this discomfort is often associated with prostate inflammation (prostatitis), prostate infections, or in some cases, prostate cancer. It may also result from treatments like radiation therapy or prostate surgery, which can affect the nerves and tissues involved in sexual function. The pain may be sharp, burning, or aching, and can occur during or shortly after ejaculation. If this symptom is persistent or accompanied by others—such as urinary problems or blood in the semen—it’s important to consult a healthcare provider for proper evaluation and management.