Oxfordshire Cancer Information

Oxford Radcliffe Hospitals NHS Trust

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FAQ (frequently asked questions)

gemma_crane

gemma_crane

How common is testicular cancer?

Testicular cancer is the most common malignancy in men age 15- 35 years and second most common in those men aged 35- 39 years.

What are the risk factors?

The exact causes of testicular cancer are unknown.

However, it has been found to be more common in men who have a testicle which has failed to descend, mumps, orchitis or an atrophic testicle.

Men with a family history of testicular cancer are also found to have a higher risk of developing testicular cancer.

No link has been found between sporting strains and testicular cancer. However, as an injury can produce a lump in the testicle it can occasionally mask a tumour. It is important for patients who have an injury to their testicles to be checked until the swelling has disappeared.

What are the different types of testicular cancer?

Germ cell cancers are usually seminoma or teratoma. Please refer back to the main web page which will explain this is detail.

Are our children at risk?

Most testicular cancers are not inherited. They just happen and we don't know the reasons why. There is however, a family risk with testicular cancer. The risk is highest in those men with a blood relative i.e. fathers and brothers of men that have been diagnosed with testicular cancer.

Will I die of this cancer?

Testicular cancer is one of the most curable cancers with 90% success rates for Germ Cell tumours. Even for patients where the cancer has spread outside the testicle good response rates to chemotherapy are seen.

gemma_crane

gemma_crane

Will the cancer affect my sex life?


A large number of men ask the question about how testicular cancer will impact on their sex life.
 

It is important to understand that the removal of one testis will not affect sexual performance or the ability to father children so long as the remaining testicle is healthy. This is because the remaining testicle will produce more testosterone and sperm to make up for the removal of the missing one.

Since my treatment my sex drive is lower, why does this happen?
 

Low sex drive is often a side effect of many illnesses not just cancer. Any course of treatment can make you tired; less interested in sex and lowers your sex drive. It can be worrying at the time but is normally a temporary side effect. Once you have completed your treatment your sex drive (libido) should return again. However, if you are still struggling with this then please mention it to your doctor at your next outpatient appointment. They are use to discussing these issues with patients so you should not feel embarrassed about mentioning it.  

Will chemotherapy make me infertile or cause me problems fathering a child?

Chemotherapy commonly causes infertility both during chemotherapy and also following chemotherapy for a period of time. This is often temporary but you will be encouraged to donate a sperm sample prior to treatment in case you have difficulty when you are considering having a child. The rate at which sperm recovers varies from person to person. In men having high dose chemotherapy such as BEP, infertility is higher.

Should I take any additional precautions whilst having sex during my chemotherapy regime? 

Whilst having chemotherapy, we recommend barrier protection, such as condoms, should be used at all times and for a week post treatment too in order to protect your partner. However, we do not know what affect the treatment has on the semen. There is no evidence to prove that children fathered just after chemotherapy regime ends are harmed however, your doctor will advise you not to take this risk and wait for at least the first six months post treatment before starting a family.

gemma_crane

gemma_crane

When will I be able to play sport again?

The majority of men who have a testicular cancer will be completely cured. This means that of course you will be able to get back to playing sport at some point.

For some patients who have had surgery alone they can get back to doing gentle exercise within 4 weeks and more vigorous sports in 6- 8 weeks. However, for those patients that have chemotherapy treatment this may be longer. Chemotherapy can cause fatigue for a number of months once treatment has finished and therefore certain sports can be too demanding. Some patients take 6 months to a year before they can play some of their favourite sports more vigorously.

gemma_crane

gemma_crane

Where can I get more information and support from?

You will find that from diagnosis you will need varying amounts at different times. You may even find that on significant anniversaries, for example one year post diagnosis, you may need extra support. Feeling more emotional or angry at these times is a very normal feeling. There are a number of places where you can obtain support:

gemma_crane

gemma_crane

TRAVEL

Can I get travel insurance?

Although you may think that you are well enough to travel you may still have difficulty getting travel insurance. This is because insurance companies often think that patient's who have had cancer are more likely to make a claim than anyone else. This is not always the case. You may find that once assessed using the criteria set down by the insurance company that you will be covered for certain situations only and probably not for claims relating to your testicular cancer. You should ensure you are aware of which situations you will be covered for, especially if you have advanced cancer. Companies are often reluctant to insure patients that are going to countries where health care is expensive, such as the USA or Canada or where long flights are involved, such as Australia

It is also advisable to shop around for the best deal. If you want further guidance then please contact your Uro-Oncology Nurse Specialist who will be able to suggest a number of insurance companies.

Should I be taking extra safety precautions in the sun?

We would always advise safety in the sun. For example, patients are advised to stay out of the sun during the hottest times of the day and wear high sun factor creams, hats and t-shirts. However, this is even more important following treatment with chemotherapy, as this type of treatment is likely to make your skin more sensitive in the sun, and patients should be even more vigilant in protecting their skin. Please discuss this with your uro-oncology nurse specialist if you need more information.

gemma_crane

gemma_crane

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