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Biological and psychological factors of sexual dysfunction

Sexual dysfunction can present as a symptom in people who have been diagnosed with testicular cancer. Sexual dysfunction can stem from biological factors, psychological factors, or a blend of both. Difficulties in physiological aspects such as achieving erection and ejaculation are correlated with the severity of the disease and the methods of treatment employed, such as surgery, radiotherapy, or chemotherapy. Conversely, psychological aspects such as libido and satisfaction remain unaffected by the type of treatment received. Nonetheless, treatment approaches for testicular cancer can induce physiological alterations while simultaneously eliciting emotional responses. Therefore, diminished sexual function (such as decreased libido or inhibition) may result from treatment-related physical factors like fatigue, overall discomfort, hair loss, and significant weight fluctuations, as well as emotional factors including concerns about sexual performance, fear of losing control, and ambiguity regarding what lies ahead.