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Updated: May 26, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Impact of androgen deprivation therapy on sexual function
Clarisse R Mazzola1, John P Mulhall
1Sexual and Reproductive Medicine Program, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Abstract:
Many patients with prostate cancer for whom androgen deprivation therapy (ADT) is indicated are young and desire to remain sexually active. In such patients, the side effects of androgen therapy on sexual function can be a source of serious reduction in overall quality of life. Providing the appropriate treatment options in this patient population is therefore essential. Nevertheless, treating such patients is challenging and an understanding of the underlying mechanisms of sexual physiology and pathophysiology is crucial to optimal patient care. In this paper, we reviewed what was known regarding the effects of ADT on sexual function in animal models and we also provided a detailed review on the effects of ADT on sexual health in humans and its treatment.
Insights
Androgen deprivation therapy (ADT) for prostate cancer can impair sexual function, impacting quality of life for sexually active young men. This review examines ADT
Area of Science:
- Oncology
- Urology
- Sexual Medicine
Background:
- Prostate cancer patients often require androgen deprivation therapy (ADT).
- Younger patients undergoing ADT frequently prioritize maintaining sexual activity.
- ADT-induced sexual dysfunction significantly reduces quality of life.
Purpose of the Study:
- To review the effects of ADT on sexual function in animal models.
- To provide a detailed review of ADT's impact on human sexual health.
- To discuss treatment options for ADT-related sexual dysfunction.
Main Methods:
- Literature review of animal model studies on ADT and sexual function.
- Comprehensive review of human studies on ADT and sexual health.
- Analysis of current treatment strategies for sexual side effects of ADT.
Main Results:
- ADT negatively affects sexual function across animal models.
- Human studies confirm significant adverse effects of ADT on sexual health.
- Effective management strategies for ADT-induced sexual dysfunction exist.
Conclusions:
- Understanding ADT's impact on sexual physiology is crucial for patient care.
- Addressing sexual health concerns in prostate cancer patients on ADT is essential.
- Appropriate treatment options can mitigate ADT's negative effects on sexual function.
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