Can I have sex?
Many men continue with their usual sexual activity while others find there are times during and after treatment when their libido (sex drive) decreases. If you lose interest in sex, don't worry - this isn't unusual. Of the few long term problems which occur some may have a physical cause, for example the level of testosterone in your body may be low. This can be increased by tablets, patches or injections. Problems may also be due to the way you are feeling, for example if you are depressed or feeling down you may not be interested in sex. Talking to a counsellor may help.
Lack of self confidence due to loss of a testicle isn't uncommon. A prosthesis (an artificial testicle) can be inserted into the scrotum to give a normal appearance. Some men find this helps to boost their confidence.
You may continue, or resume, sexual activity whenever you feel well enough to do so. Your partner can't catch cancer from you through sexual contact. However, your doctor will advise you or your partner to use an effective form of contraception for up to two years after your radiotherapy or chemotherapy. This is usually a barrier method of contraception.
You should discuss your plans to start a family with your doctor before your treatment begins.
How will it affect my fertility?
A common fear for many men is that treatment will affect their ability to father children.
The removal of a testicle doesn't prevent the remaining one producing extra sperm and hormones, which make up for the lost one.
Chemotherapy may cause temporary infertility, but many men go on to father children after treatment. You may be offered sperm banking before your treatment starts, unless it is vital that there is no delay. Your doctor will discuss this option with you before your treatment starts.
Will I need regular check ups?
Although there is an excellent chance that you will have no further problems, cancer can recur (come back) and it is natural for you to worry about this. You will be seen regularly at the hospital during and after your treatment. Your doctor will be monitoring you and will investigate any symptoms that you might be experiencing.
Usually, at every visit to the hospital the doctor will examine you and you will have some blood tests called 'markers'. If these markers are raised it may indicate that the cancer has come back.