The article in brief
Living without testicles is possible thanks to medical and psychological adaptations. Here are the key points to remember:
- A single testicle is generally sufficient for the hormone production and fertility
- A testicular prosthesis can be considered for aesthetic reasons
- A regular medical check-ups and psychological support are recommended
- Acceptance and support from those around you play a crucial role in adaptation
Living without a testicle is a reality for many men, following cancer or other health problems. As a urologist, I have accompanied many patients in this situation. Let me explain the consequences and possible alternatives.
Living with only one testicle: a possible adaptation
It is absolutely possible to live without testicles or with only one testicle. In my practice, I have found that many men adapt remarkably well to this situation. Here's what you need to know:
Hormonal and sexual function
One testicle is generally enough to produce enough testosterone to maintain a normal libido. I have observed that most of my patients retain their sexual capacity after removal of a testicle. However, it is interesting to note that each case is unique.
Fertility and procreation
The good news is that a single testicle generally produces enough sperm to allow procreation. However, as a precaution, I often recommend sperm conservation before the operation. I recently advised a young patient to do this myself, and it put his mind at rest.
Aesthetics and prosthetics
For aesthetic reasons, a testicular prosthesis may be considered. I have seen many patients regain their self-confidence thanks to this option. However, this remains a personal choice and is not compulsory in order to live a normal life.
Orchiectomy: definition and consequences
Orchiectomy, or removal of one or both testicles, is often carried out in cases of testicular cancer. Here's what you need to know about this procedure:
Indications and procedure
This operation is mainly indicated for the treatment of testicular cancer, which mainly affects young men (aged 15-49). The procedure is relatively quick and is performed under general anaesthetic. I have performed many orchiectomies in my career, and I can assure you that techniques have evolved considerably to minimise complications.
Hormonal consequences
After both testicles have been removed, hormone replacement therapy based on testosterone is required. This treatment helps to maintain male characteristics and general well-being. Here is a table summarising the effects of orchiectomy:
| Type of orchiectomy | Hormonal consequences | Treatment required |
|---|---|---|
| Unilateral (one testicle) | Generally minimal | Rarely necessary |
| Bilateral (both testicles) | significant | Testosterone substitution |
Impact on sexuality
Resuming sexual activity after the operation often requires a period of adjustment. Some of my patients have reported problems with ejaculation, such as an absence or change in sperm. It is important to discuss this openly with your doctor to find appropriate solutions.
In particular, I worked with a patient who feared that he would no longer be able to satisfy his partner after the operation. After a few counselling sessions, he was able to overcome his fears and return to a fulfilling intimate life. This is just one of many examples of how a a satisfying sex life is possible, even after an orchiectomy.
Psychological aspects and adaptation
Living without testicles can have a significant psychological impact. Here are some important points to consider:
- Accepting your new body and rebuilding your self-image takes time
- Some men question their masculinity or feel "less of a man".
- Telling a new partner can be a source of anxiety
As a urologist, I always stress the importance of appropriate psychological support. I've seen many patients overcome these challenges with the right guidance and support from their loved ones.
Care and monitoring
There is more to caring for a patient living without a testicle than the medical aspect. Here are the main points to consider:
Regular medical check-ups
Regular check-ups are essential to monitor health trends and adjust treatments if necessary. This includes hormone check-ups and, in the case of cancer, check-ups to prevent recurrence.
Psychological support
I often recommend that my patients consult a psychologist specialising in oncosexology. This support can make it much easier to accept the new situation and help overcome any relationship or intimate difficulties.
Support from family and friends
Partner and family support play a vital role in the adaptation process. I always encourage my patients to communicate openly with their loved ones about their concerns and needs.
It's worth pointing out that every patient is unique and that treatment must be personalised. For example, I followed one patient who found great comfort in a discussion group, while another preferred individual sessions with a psychologist.
Living without testicles may seem daunting at first, but with the right care and support, it is possible to lead a fulfilling life. Don't hesitate to consult a urologist or a specialist for all your testicular health questions. Your overall well-being remains the priority, and there are many options available to help you adapt to this new situation.
Sources :
