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Dr. David
Dr. David, Board Certified Physician
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Three years ago I had 27 fractions of radiation as a part of

Customer Question

Three years ago I had 27 fractions of radiation as a part of my treatment for prostate cancer; since then however, I am unable to produce sperm, although I experience the sensation of ejaculation.
Is that a side effect of radiation?
Does it reverse itself naturally? Or, is there a medical procedure to reverse the condition?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Abid replied 1 year ago.

Hi there ...

Radiation induced aspermia depends on dose of radiation , high dose radiation if permanently destroys sertoli cells there will be permanent aspermia , but low dose radiation induced aspermia recovers within 6 months to 2 year .

So it can reverse if sertoli cells are not destroyed permanently .

Regards ***** ***** luck .

Please leave positive feedback for me .

Thanks .

Expert:  Dr. David replied 1 year ago.

This is Dr. David

I am a radiation oncology doctor.

the prostate produces about 95-99% of all of the fluid which is in the ejaculate.

radiation therapy to the prostate gland will kill the glandular cells which produce fluid for the ejaculate.

your radiation oncology doctor should have told you this was a side effect of high dose radiation to the prostate gland.

unfortunately this is a permanent side effect.

also removing the prostate gland with surgery with a prostatectomy would also cause you to have no fluid produced in ejaculation as well.

there is no known procedure to make your prostate gland make fluid again.

I hope your prostate cancer has been controlled and your PSA levels are low and steady

that is the most important goal of your prior radiation therapy

let me know if you have questions.

Expert:  Dr. David replied 1 year ago.

This is Dr. David

do you have any other questions?