Can I get a woman pregnant without a prostate?

The prostate produces the fluid that helps keep semen liquid. Once the prostate is removed a man no longer has the ability to make semen or ejaculate semen, so infertility is an unavoidable and permanent consequence of surgery.

zerocancer.org - Infertility | ZERO - The End of Prostate Cancer

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What is infertility?

Infertility is the inability to father children through sexual intercourse. Some men do not know that the loss of fertility is a common side effect of prostate cancer treatment.

What causes infertility?

Many types of prostate cancer treatment cause infertility. The prostate produces the fluid that helps keep semen liquid. Once the prostate is removed a man no longer has the ability to make semen or ejaculate semen, so infertility is an unavoidable and permanent consequence of surgery. Radiation may also damage the prostate’s ability to produce semen or damage the sperm cells in the testicles.

What if I have prostate cancer and want to have children?

If maintaining the possibility of fatherhood is important to you, be sure to discuss that with your doctor. Men with low-risk, slow-growing prostate cancer may be able to avoid infertility by choosing active surveillance. However, if your cancer requires treatment, there are some options you can pursue to maintain the possibility of fathering children:

Sperm Banking

Freezing (cryopreservation) of sperm is the most successful way for men to preserve fertility before cancer treatment. The most common way to collect the semen sample is through masturbation. Men who cannot ejaculate may have vibrational or electrical stimulation to help them do so. The sperm will stay frozen, or “banked,” until you need them. Freezing—even for many years—does not damage sperm.

Testicular Sperm Extraction

Even if a man cannot ejaculate sperm, he may still have sperm in the testicles. In testicular sperm extraction, a surgeon removes small pieces of testicular tissue (biopsy) while the patient is sedated or under local or general anesthesia. If the tissue contains sperm, the sperm are either frozen or used to fertilize a female partner’s eggs. This technique may be an option before or after cancer treatment.

Where can I learn more?

If you are interested in fertility preservation, ask for a referral to a physician who specialized in treating male fertility. This may be an endocrinologist, andrologist, or urologist.

Visit the following links to learn more:

LIVESTRONG Fertility for Men

American Society for Reproductive Medicine

Oncofertility Consortium

Save My Fertility

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What is the prime age for prostate cancer?

Age-specific incidence rates rise steeply from around age 45-49, peak in the 75-79 age group before dropping slightly and remaining stable in the oldest age groups. The highest rates are in in the 75 to 79 age group. For prostate cancer, like most cancer types, incidence increases with age.

cancerresearchuk.org - Prostate cancer incidence statistics

Prostate cancer is the most common cancer in males in the UK, accounting for 27% of all new cancer cases in males (2016-2018).In females and males combined, prostate cancer is the 2nd most common cancer in the UK, accounting for 14% of all new cancer cases (2016-2018).[1-4] Prostate cancer incidence rates (European age-standardised (AS) rate ) for males are significantly higher than the UK average in England and Wales and significantly lower than the UK average in Scotland and Northern Ireland. For prostate cancer, there are few established risk factors therefore differences between countries largely reflect differences in diagnosis and data recording. Prostate Cancer (C61), Average Number of New Cases Per Year, Crude and European Age-Standardised (AS) Incidence Rates per 100,000 Population, UK, 2016-2018

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