Sexual Dysfunction and Reproductive Concerns in Young Men Diagnosed With Testicular Cancer: An Observational Study.

Area of Science:

• Oncology
• Reproductive Medicine
• Psychosexual Health

Background:

• Testicular cancer has high survival rates, yet survivorship issues like sexual dysfunction and reproductive concerns are under-researched.
• Young men diagnosed with testicular cancer face unique challenges impacting quality of life.

Purpose of the Study:

• To investigate the prevalence and predictors of sexual dysfunction and reproductive concerns in young men approximately two years after testicular cancer diagnosis.
• To explore the association between sexual dysfunction and reproductive concerns in this population.

Main Methods:

• A survey was administered to 111 men (aged 16-39) diagnosed with testicular cancer, approximately two years post-diagnosis.
• Validated instruments assessed sexual function, reproductive concerns, body image, and quality of life.
• Multivariable linear regression analyses identified predictors of sexual dysfunction and reproductive concerns using registry and survey data.

Main Results:

• 26% of men reported sexual dysfunction and 28% reported high reproductive concerns.
• Sexual satisfaction was negatively associated with older age and negative body image, and positively with having a partner and pre-cancer sexual satisfaction.
• Negative body image correlated with reproductive concerns regarding fertility, partner disclosure, and child's health. Fertility preservation predicted higher concerns about personal health and pregnancy.

Conclusions:

• While most young men treated for testicular cancer do not report sexual dysfunction or reproductive concerns two years post-diagnosis, a significant minority does.
• Psychological factors, such as body image, appear more predictive of these concerns than clinical variables.
• Survivorship care plans should address potential sexual dysfunction and reproductive concerns in young men diagnosed with testicular cancer.