{"id":104405,"date":"2022-11-09T13:58:31","date_gmt":"2022-11-09T11:58:31","guid":{"rendered":"https:\/\/www.ivi.uk\/?p=104405"},"modified":"2023-05-12T13:40:54","modified_gmt":"2023-05-12T11:40:54","slug":"does-testicular-cancer-affect-fertility","status":"publish","type":"post","link":"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/","title":{"rendered":"Does testicular cancer affect fertility?"},"content":{"rendered":"<p>Around 2,300 men are diagnosed with testicular cancer every year in the UK. The diagnosis can come as a particular shock because it tends to affect younger people, most <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5715882\/\">commonly seen in men of reproductive age<\/a>. Firstly, the good news is that the cure rate is very high at around 95%. However, this cancer is likely to affect your fertility, which could naturally be more of a concern for younger men who may not have started or completed their families.<\/p>\n<p>In this article, we will be looking at some of the common questions about testicular cancer:<\/p>\n<ul>\n<li>What are testicular cancer symptoms?<\/li>\n<li>What does testicular cancer look like?<\/li>\n<li>Is testicular cancer painful?<\/li>\n<li>What does testicular cancer feel like?<\/li>\n<li>How is testicular cancer treated?<\/li>\n<li>How does testicular cancer impact on fertility?<\/li>\n<\/ul>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_68_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title \" >Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#What_are_the_symptoms_of_testicular_cancer\" title=\"What are the symptoms of testicular cancer?\">What are the symptoms of testicular cancer?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#What_does_testicular_cancer_look_like\" title=\"What does testicular cancer look like?\">What does testicular cancer look like?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#Is_testicular_cancer_painful\" title=\"Is testicular cancer painful?\">Is testicular cancer painful?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#How_is_testicular_cancer_treated\" title=\"How is testicular cancer treated?\">How is testicular cancer treated?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#How_does_testicular_cancer_impact_fertility\" title=\"How does testicular cancer impact fertility?\">How does testicular cancer impact fertility?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#Protecting_your_fertility_before_testicular_cancer_treatment\" title=\"Protecting your fertility before testicular cancer treatment\">Protecting your fertility before testicular cancer treatment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#What_is_sperm_banking\" title=\"What is sperm banking?\">What is sperm banking?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#What_is_the_sperm_banking_process\" title=\"What is the sperm banking process?\">What is the sperm banking process?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/#IVI_and_the_preservation_of_fertility\" title=\"IVI and the preservation of fertility\">IVI and the preservation of fertility<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_symptoms_of_testicular_cancer\"><\/span>What are the symptoms of testicular cancer?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It\u2019s easy to check yourself for testicular cancer because the most common symptom is a lump or swelling in one testicle. This usually takes the form of a painless palpable mass (i.e. you should be able to feel it). The mass should be a significant size of a few centimetres. Small non-palpable masses are more likely to be benign tumours or cysts. In a few cases, since the condition can lead to reduced sperm production, the only noticeable symptom is infertility.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_does_testicular_cancer_look_like\"><\/span>What does testicular cancer look like?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Most men have one testicle slightly larger than the other, but in the case of testicular cancer you may see a hard lump on the side or the front of one testicle. You may notice that the difference between the two testicles has become more pronounced. The NHS advises that it\u2019s important to know your own body so you are familiar with what is normal for you, and be alert to any changes.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_testicular_cancer_painful\"><\/span>Is testicular cancer painful?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Very often the lump in your testicle will be painless, but where pain does occur it is likely to be a dull ache in your testicles or scrotum. This ache may be sporadic. A feeling of heaviness in the scrotum is also quite common. If the cancer has spread to the lymph nodes, there can be other symptoms such as a pain in the lower back or abdomen.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_is_testicular_cancer_treated\"><\/span>How is testicular cancer treated?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are three main treatments for testicular cancer. These are an orchiectomy (the surgical removal of a testicle), chemotherapy or radiotherapy. These treatments remove cancerous cells as well as reduce the risk of the cancer recurring.<\/p>\n<ul>\n<li><strong>Orchiectomy:<\/strong> The only way to obtain a definitive diagnosis is to remove all of the affected testicle. After removal, a pathologist examines the tissue for cancer cells, which will also reveal the type of cancer you have. You may only need surgery, or it could be followed up with chemotherapy and\/or radiotherapy.<\/li>\n<li><strong>Chemotherapy: <\/strong>Your oncologist may prescribe chemotherapy after surgery to reduce the risk of the cancer returning, or to treat any cancer that has spread outside the original site.<\/li>\n<li><strong>Radiotherapy:<\/strong> Radiotherapy is a targeted treatment. It aims to destroy cancerous cells while avoiding or minimising damage to adjacent cells and structures. It can be an alternative to chemotherapy. Oncologists sometimes prescribe both radiotherapy and chemotherapy in particular cases.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_does_testicular_cancer_impact_fertility\"><\/span>How does testicular cancer impact fertility?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Testicular cancer can be the cause of a low sperm count. But the most significant impact on a man\u2019s fertility comes mainly from the treatment, rather than the cancer. In most cases, boys and men develop cancer in one testicle only. After removal of the testicle, it&#8217;s possible that the remaining testicle will produce enough testosterone for general health. The treatment may not affect your fertility. The problem is, before surgery, there is no way of knowing whether further treatment will be required. Treatment for testicular cancer doesn&#8217;t normally affect your ability to have sex. It may not affect your fertility. However, there is no guarantee.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Protecting_your_fertility_before_testicular_cancer_treatment\"><\/span>Protecting your fertility before testicular cancer treatment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In light of these uncertainties, fertility preservation is often strongly recommended. If you think you might want children in the future, you should take steps to preserve your fertility. Even if the probability is low, testicular cancer treatment can affect your fertility. Your specialist is likely to advise that you freeze sperm just in case.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_sperm_banking\"><\/span>What is sperm banking?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sperm banking, also known as sperm freezing or <a href=\"https:\/\/www.ivi.uk\/blog\/what-is-the-vitrification-technique\/\">cryopreservation<\/a>, is the process of collecting, freezing and storing sperm for use in the future. It can then be thawed and used in an assisted fertility treatment such as <a href=\"https:\/\/www.ivi.uk\/assisted-reproduction-treatments\/intra-uterine-insemination\/\">intrauterine insemination (IUI)<\/a> or, depending on your specific circumstances, with <a href=\"https:\/\/www.ivi.uk\/assisted-reproduction-treatments\/in-vitro-fertilisation\/\">in vitro fertilisation (IVF)<\/a>. A specialist will assess your sample to ensure it is of a high enough quality. You may need to produce another sample if the quality of the sample is low.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_sperm_banking_process\"><\/span>What is the sperm banking process?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Experts advise freezing sperm even if you are having surgery to remove one testicle. Although testicular cancer can lead to semen abnormalities, you may experience decreased fertility following surgery. Your specialist may recommend freezing sperm pre- versus post-surgery for this reason. If you require further treatment such as chemotherapy or radiotherapy, it is vital that you consider preserving fertility before commencing treatment. The process is very simple. A member of staff will ask you to produce a sperm sample in a private space in your doctor\u2019s surgery or fertility clinic. A clinical specialist will then freeze your sample immediately. If producing a sample is not possible, there is a surgical option to extract sperm from the testicular tissue.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"IVI_and_the_preservation_of_fertility\"><\/span>IVI and the preservation of fertility<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>At IVI, we are leaders in the field of fertility preservation. We not only help adults, but children and young people diagnosed with cancer. Our donations support the <a href=\"https:\/\/www.ouh.nhs.uk\/\">Oxford University Hospitals NHS Foundation Trust<\/a> to help advance research into the uses of cryopreserved ovarian and testicular tissue in future fertility treatments. This research has helped thousands of children and young adults preserve fertility to build their future families.<\/p>\n<p>You can <a href=\"https:\/\/www.ivi.uk\/blog\/ivi-and-the-oxford-university-hospitals-trust\/\">find out more about this project here<\/a>, or if you would like to speak to one of our specialists about fertility preservation, just <a href=\"https:\/\/www.ivi.uk\/ask-for-an-appointment\/\">get in touch using our online contact form<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"Around 2,300 men are diagnosed with testicular cancer every year in the UK. The diagnosis can come as a particular shock because it tends to affect younger people, most commonly seen in men of reproductive age. Firstly, the good news is that the cure rate is very high at around 95%. However, this cancer is&#8230; <a class=\"view-article\" href=\"https:\/\/www.ivi.uk\/blog\/does-testicular-cancer-affect-fertility\/\">View Article<\/a>","protected":false},"author":42,"featured_media":104458,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,18],"tags":[211,205,361],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Does testicular cancer affect fertility? - IVI UK<\/title>\n<meta name=\"description\" content=\"Around 2,300 men in the UK are diagnosed with testicular cancer each year. 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