For Caregivers

Prostate Cancer Partner’s Corner

Many men view having prostate cancer as a threat to their sexuality. It may be difficult for your partner to deal with the thought of losing his sex drive and/or his ability to get an erection. Your partner may have a difficult time accepting that all prostate cancer therapies can affect his testosterone.

If your partner has had surgery (prostatectomy) or radiation therapy, he may experience the loss of the ability to achieve or maintain an erection, called erectile dysfunction and/or the loss of libido (sex drive). The side effects may be temporary or permanent, depending upon the patient. Radiation can also affect some men's ability to have an erection. About one third to one half of men treated by radiation may experience some degree of erectile dysfunction.

Hormonal prostate cancer therapy with LHRH agonists, which suppress testosterone production, can impact sexual function and desire. Not all men who receive hormonal prostate cancer therapy experience sexual side effects.

Many men don't want to talk about these issues of sexual dysfunction. Try to have an honest conversation with your partner about your sexual relationship—what it was before treatment, what it is now, and how you can each find satisfaction.

You both may want to consider the various medications, implants, injections, and devices that are available to treat erectile dysfunction. Even if you aren't interested in exploring such options, sexual intimacy and pleasure can be found in many ways.

Start by having an honest conversation with your partner about sexual issues. Talk to your doctor, counselor, or therapist if you need additional help.