Reproductive concerns, sexual dysfunction present among testicular cancer patients
While most patients do not have such concerns, some young men treated for testicular cancer experience sexual dysfunction and other reproductive concerns 2 years after diagnosis, a recent study has found.
Researchers performed an observational analysis of 111 men (mean age, 32.1±5.5 years) who had been diagnosed with testicular cancer between the ages of 16 and 39 years. Two years after diagnosis, participants were administered a survey to collect information about body image, reproductive concerns, sexual function and health-related quality of life.
More than a quarter (26 percent) reported impairment in at least one domain of sexual function, the most common of which was satisfaction with sex life. One in 10 men (11 percent) reported at least two impairments, and 8 percent had erectile dysfunction. Most patients (96.4 percent) reported having sexual activity in the past 30 days.
Similar proportions of participants reported high levels of reproductive concerns in ≥1 (28 percent) and ≥2 (10 percent) dimensions. Overall, 43 percent of the participants reported either sexual dysfunction or reproductive concerns in at least one dimension.
Multivariable linear regression analysis found that older participants tended to report lower levels of sexual interest and satisfaction with their sex lives. In comparison, having a partner was associated with better satisfaction with sex life, while better erectile function was positively correlated with quality of life.
Importantly, men who had negative perceptions about their body image were more likely to be dissatisfied with their sex lives.