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EP291: Preserving hope for fatherhood | PUTTING DR G ON THE SPOT
The Star
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4 months ago
Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, tells a reader what he can do as he is facing fertility issues after being diagnosed with prostate cancer.
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00:00
In the month of September, when we call it the Blue September, dealing with different issues
00:06
related to prostate cancer. And we are focusing on sexual health relation with prostate cancer.
00:13
And today, we're talking about reproductive health, whether prostate cancer can cause infertility.
00:19
What is prostate cancer per se itself is hardly known to cause infertility because the testicle
00:31
will continue to produce testicular hormone, which is testosterone, and also sperms. And that sperms
00:37
sometimes can be delivered to the prostate itself. However, in the presence of prostate cancer,
00:43
it occasionally may result in obstruction or retrograde ejaculation. Under such circumstances,
00:51
men may feel like they are not ejaculating because they get dry climax. However, they continue to be
00:59
fertile. However, the treatment of prostate cancer definitely will put a little bit of dampening
01:05
impact on the fertility. Number one, radical prostatectomy. Radical prostatectomy is the
01:12
removal of the whole prostate itself. And when that's removed, this prostate, which is functional
01:18
for secretion of seminal fluid, is no longer functional. So men who undergo radical prostatectomy
01:25
can no longer ejaculate. Under such circumstance, men will become infertile naturally.
01:32
The second possibility of men become affected by prostate cancer treatment is radiotherapy.
01:39
So radiotherapy such as external beam radiation or brachytherapy itself can cause scarring of the
01:46
prostate and result in infertility as well. And lastly, men who undergo treatment with hormone
01:53
suppression will also reduce the production of the sperms and also testosterone. So under such
02:01
circumstance, if men continue to want to father a child, is there a possibility? Of course there is.
02:07
That is called artificial reproductive technology. Under such circumstance, we will retrieve the
02:15
sperms directly from the testicle and create IVF or in vitro fertilization test tube babies.
02:23
And under such circumstance, science will actually lend a helping hand for men who are affected by
02:30
the prostate cancer inducing infertility. Does testosterone cause prostate cancer?
02:36
Can suppression of testosterone cause the actual reduction in the risk of prostate cancer?
02:44
If you are interested or you think that your testosterone might be actually putting you at risk of prostate cancer,
02:50
then you need to stay tuned for next week's Putting Dr. G on the Spot.
03:00
by Ben on the Spot
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sylма
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