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Cancer in men, before treatment, may affect sperm count and quality, although this is controversial. In general 10% of men diagnosed with cancer are expected to have no ejaculated sperm-azospermia. Up to 50% may have abnormal sperm quality.

Prostate cancer treatment and future fertility. Treatment options for prostate cancer include
1. Radical prostatectomy. This procedure can be performed through a large incision or via minimally access surgery-laparoscopy. Surgery can be modified to preserve the nerve fibers responsible for erection thus reducing erectile dysfunction after surgery. Surgery causes block of the vas deferens on both sides leading to obstruction and azospermia.
2. Radiation. External beam radiation affect sperm production from the testes as scattered radiation can damage the sperm producing cells. Placing a radioactive seed inside the prostate-brachytherapy, has minimal effect on sperm production.
3. Observation on;y is possible for selected men diagnosed with prostate cancer.

Fertility preservation options in young men
1. Sperm Cyopreservation. Less than 50% of men diagnosed with cancer preserve their sperm before treatment due to lack of information or counseling. This is a very available and low cost option. One or more samples can be frozen depending on time and initial sperm counts and quality. Sperm can be frozen indefinitely. If multiple samples were frozen, they can be used for intrauterine insemination. If limited amount of sperm is available or low quality -movement or sperm shape, IVF with injection of sperm into the egg-ICSI is required. Sperm freezing has a good psychological impact on men during cancer treatment.
2. Electro-ejaculation. For men who have erectile dysfunction or inability to ejaculate after surgery, electrical stimulation can induce ejaculation. Sperm quality in this case is likely abnormal favoring the use of sperm for IVF-ICSI.
3. Testicular Sperm Extraction-TESE. Form men with no ejaculated sperm-azospermia, sperm can be surgically obtained from the testes. This is also an option for men who cannot produce sperm and no sperm could be aspirated without surgery. This procedure can be performed during the surgical treatment for cancer. Sperm are obtained in 50-60% of men with azospermia. Sperm obtained are used for IVF with ICSI. Sperm can also be obtained from the duct that convey sperm outside the testes-Microsurgical epididymal sperm aspiration-MESA. The success rate of achieving pregnancy using frozen ejaculated sperm or surgically obtained viable sperm is not different from fresh sperm.

Checklist for fertility preservation in prostate cancer

1. Discuss with your oncologist different cancer treatment options-radical prostatectomy, external beam radiation and brachytherapy or even observation only.
2. If radical prostatectomy is planned inquire about the technique of surgery-open or laparoscopy, nerve sparing procedures and incidence of erectile dysfunction in the surgeon’s hands
3. Ask for more information about the effects of prostate cancer treatment and fertility preservation options from the oncologist or reproductive endocrinologist.
4. If interested in fertility preservation a reproductive endocrinologist or urologist can refer you for semen analysis and freezing (in the same time), interpret the semen analysis and advice about the number of samples to be frozen.
5. If no sperm found-azospermia, surgical sperm retrieval can be performed at the time of surgery for cancer or after cure.

Amr Azim is a board certified reproductive endocrinologist and fertility specialist in New York City IVF and author of many scientific publication in the area of fertility treatment and fertility preservation. I specialize in fertility counseling, testing,male factor infertility, PCOS, endometriosis and infertility treatments including IUI and IVF.
I published my work on fertility preservation and treatment of low responders to ovarian stimulation in major scientific journals.
I am very passionate about helping women, men and children diagnosed with cancer and other diseases understand the impact of disease and its treatment on future fertility.

Signs and Symptoms

The disease, during the early stage, usually does not cause appearance of signs or symptoms. In most cases, patients experience difficult urination, burning sensation during urination or blood in urine. Upon examination, physicians may detect the presence of a hard nodule in front of the rectum. This lump, nodule or cancer growth enlarges as time passes and presses on the urethra, diminishing urine output and making it difficult for the patient to urinate. Continuous enlargement of the tumor can completely block urine flow, resulting in painful urination and enlarged urinary bladder. Late stages of the cancer cause fatigue, body malaise and weight loss.

Detection Techniques

Early detection of prostate cancer depends on two important screening tests, which include the digital rectal examination and prostate specific antigen (PSA) testing. In digital rectal examination, urologists usually look for an abnormal tissue growth or lump in front of the rectum. On the other hand, prostate specific antigen testing requires the determination of PSA level in blood samples. A concentration of four nanograms per milliliter in tested samples is suggestive of prostate cancer. Confirmation usually requires prostate biopsy and correlation of PSA level with other available data, including family history, age as well as the observable signs and symptoms.

With the available diagnostic and treatment measures, the number of those dying from prostate cancer has slowly decreased. However, many of those affected are either misdiagnosed, undiagnosed or have not undergone testing; thus, the need to encourage more men age 40 and above to undergo regular physical and laboratory examinations.

After you have allowed yourself to allow the thought of having a cancer sink in, start to educate yourself on treatments as there are choices with great success. What prostate treatment is sight for you can only be decided by you, your family and your physician. Prostate surgery is one choice and includes treatments; such as, a radial protatectomy or radioactive seed implantation, which is not as scary as it sounds. Removing the prostate completely or using the iodine “seeds” placed in the prostate may be right for you.

If prostate surgery isn’t the answer, another prostate cancer treatment are injections. Some of these injections are Eligard, Lupron and Zoladex. These injections can be given on a three to six month basis and it is a hormone based injection as prostate cancer feeds off of the testosterone. There are also implant devices which can be put in during an office visit which goes under the first layer of the skin and are left there for a year. This is a great option if you do not wish to have surgery but can not make quarterly or biannual injection visits.

Explore your options and choose what specially fits you best.

Although these symptoms are not unique to prostate cancer they indicate that it is time for a check-up. These symptoms include trouble urinating or frequent urges, pain or burning when urinating, blood in the urine or semen, pain in the back, hips or pelvis or painful ejaculation.

When a positive diagnosis is made there are several common steps to prostate cancer treatment.

The first determination is to find if the cancer has spread to other parts of the body. Possible tests may include a bone scan, CT scan, MRI or a needle biopsy. These test help to determine the Gleason scale number which rates how likely the cancer cells are to spread. Prostate treatment will be determined by this score, your age and general health.

For tumors that have not spread beyond the prostate a wait and see approach may be indicated for a slow growing tumor. For a faster growing cancer radiation therapy or a type of prostate surgery call radical prostatectomy may be implemented. There is the possibility that the doctor will determine a less invasive surgery is possible.

A hormone treatment may be also be recommended. This lessens the amount of male androgens that are produced. This will eventually cause the tumor to shrink.

As with any cancer prevention is the best treatment. Know your risks and have regular check-ups to prevent the need for prostate cancer treatment.

To begin with, talking in terms of cancer warning signs, the most visible symptom is the constant urge to urinate. In most of the cases, even blood in urine or semen is observed. These are few very visible hints and need to be respected on time rather than assuming it to be a different case. Talking about cancer, which is nothing but a tumor which is made of cells from the prostate gland. This tumor grows with time however shows no visible outer signs of cancer. And therefore, it becomes all the more important to get in touch with the doctor on even the slightest of hints.

Difficulty in urinating and difficulty in erection are the other few most common cancer warning signs. Those who come across such issues either contact the family doctor, or the best would be to visit a cancer specialist directly. If the cancer is tracked on time, then there are chances that the cancer can be treated and tackled completely. Many of the men also suffer from painful ejaculation symptom, which they take as a part of ejaculation process. However, this is one of those hints of prostate cancer, which helps the doctors to come to a conclusion on cancer related to prostate. Cancer doesn’t behave in a similar manner and most of the times it grows and spread more rapidly than expected. From our end, we can do only one thing, which is keeping the health of the prostate in a good state.

For most of the prospects, frequent pain in the lower back, hips and thighs and in most of the cases, the inability to urinate works as the warning signs. Not only this, but incomplete emptying of bladder and dribbling of urine are two of the most visible symptom or hints of prostate cancer. It is advised to notice these changes carefully and get aligned with a specialist doctor as soon as any close symptom close to cancer of the prostate gets prominent in an individual.

Warning signs can be deceiving at times and hence it is very essential to take care of the valuable components of the body such as prostate in good shape all the time. Once you do that, there will be no real need for any hints or warning signs.

1. It is for the elderly men only. It slowly develops putting them at safe of dying and may be left ignored and untreated.

So not true. It may be present with men ages 50 and above but this does not exclude those who are younger. Your diet and lifestyle greatly affects your your health even your prostate. Any kind of cancer or disease that remains untreated worsens and results in serious complications that may lead to death. You put yourself at risks and the other vital organs could get affected once cancer cells metastasized outside your prostate.

2. Your PSA level determines whether you have prostate cancer or otherwise.

As much as you need to listen to it is true, it is not. Your PSA score is purely statistical. It does not necessarily predict your outcome. A higher PSA level may result due to an enlarged or inflamed prostate, infection and prostate cancer. Unfortunately, your PSA score does not rule out that is which. It is only a great indicator that something is wrong and requires further analysis and diagnosis in the future up for top treatment as possible. Further studies have shown there are men who have low PSA level who’re still identified as having cancer of the prostate. This goes to show the screening test is not perfect at all.

3. Treatment options could make you impotent and may cause incontinence.

This statement might be true for some but this may ‘t be an over-all statement. Each treatment features its own risks and negative effects but not everyone suffer these complications. It’s a few evaluating and weighing your choices. Ignorance is not a reason when it comes to your wellbeing. Having prostate cancer does not put you after your road. Your disease doesn’t take your will away; you can still make the right choices. You will find conventional yet there are still natural methods of dealing with your problem if you do not wish to place yourself at risk of becoming impotent and incontinent.

4. It’s contagious which means you should avoid any sexual activities once diagnosed.

Cancer of the prostate isn’t an STD or std. It’s neither infectious nor contagious. There is no way you are able to transmit this ailment to anyone especially to your partner. You may asks why people fear their family history especially if someone is diagnosed of cancer. Having a family history of cancer puts you at high risks genetically but this does not mean you will automatically have it. It is a possible ways to consider which means you need to take special care of yourself.

Your worries should not blind you from seeing the reality regarding your condition. It will help to consider time for you to research and be aware of facts that will provide you with good chances of dealing with cancer of the prostate.