The prostate gland produces a fluid that’s part of semen. This fluid is important for sperm transport and survival. So, can a man with no prostate get a woman pregnant? In most cases, the answer is no, but there are some exceptions. If a man’s prostate is removed or damaged, it can affect his fertility, but it doesn’t necessarily mean he can’t father a child. Let’s take a closer look.
Prostate Removal and its Impact on Ejaculation
A radical prostatectomy, which is surgery to remove the entire prostate gland, often results in what’s called a “dry orgasm.” This is because the seminal vesicles, which produce most of the fluid that makes up semen, are frequently removed during the procedure.
A dry orgasm is when a man experiences the sensations of orgasm, but doesn’t ejaculate any semen.
Prostate removal can also cause retrograde ejaculation, which is when semen flows backward into the bladder instead of out through the urethra.
Both dry orgasm and retrograde ejaculation make it harder to conceive through sexual intercourse, since sperm isn’t being delivered to the woman’s reproductive system.
Alternative Conception Methods
Even if a man doesn’t have a prostate, or has had his prostate removed, it’s still possible to conceive a child with the help of assisted reproductive technology.
Sperm Retrieval Techniques
Even without a prostate, sperm can still be retrieved and used in assisted reproductive technologies. If ejaculation is no longer possible, a procedure called Testicular Sperm Extraction (TESE) may be an option. TESE involves extracting sperm directly from the testicles.
Assisted Reproductive Technologies (ART)
Sperm that’s been retrieved can be used in procedures like In Vitro Fertilization (IVF). IVF involves fertilizing an egg outside the body and then implanting the embryo into the uterus. If some sperm can be collected, and its sample goodness is within key time limits, Intrauterine Insemination (IUI) may also be an option.
Other prostate cancer treatments and fertility
While prostate removal is the most direct cause of infertility, other treatments for prostate cancer can also impact a man’s ability to father a child.
Radiation therapy
Radiation, like surgery, can also affect fertility. The radiation used to treat prostate cancer can damage sperm production.
In some cases, doctors can use testicular shielding to protect sperm during radiation therapy, but this isn’t always possible.
Hormone therapy (androgen deprivation therapy)
Hormone therapy, also called androgen deprivation therapy or ADT, can reduce semen production and sperm count, making natural conception more difficult.
ADT works by lowering testosterone levels, which in turn affects sperm production.
Chemotherapy
Chemotherapy, a systemic treatment that uses drugs to kill cancer cells, can also negatively affect sperm production.
Preserving Fertility Before Treatment
If you are diagnosed with prostate cancer and want to have children in the future, talk to your doctor before starting any treatment. Prostate cancer treatments can seriously impact your fertility and may even cause permanent infertility.
Sperm banking is something you should consider beforehand. It’s a proactive way to preserve your options for fatherhood later on.
Frequently Asked Questions
Can a man pee without a prostate?
A man can still pee without a prostate. However, after prostate removal (prostatectomy), he might experience temporary urinary incontinence or difficulty controlling his bladder. This is because the prostate plays a role in bladder control. These issues usually improve over time with physical therapy and other treatments.
Can a man father a child after prostate removal?
It is more difficult for a man to father a child after prostate removal. Prostate removal often leads to retrograde ejaculation, where semen flows backward into the bladder instead of out through the urethra. While a man can still produce sperm, it may not be effectively delivered. Assisted reproductive technologies, like sperm retrieval and IVF, can help men conceive after prostatectomy.
Can a man get a woman pregnant if he has a prostate?
Yes, a man can get a woman pregnant if he has a prostate, assuming he is otherwise healthy and fertile. The prostate gland contributes fluid to semen, which helps transport sperm. A healthy prostate function is necessary for normal ejaculation and fertility.
Can you get someone pregnant if you don’t have a prostate?
The absence of a prostate makes it more difficult to get someone pregnant through natural means. While sperm production isn’t directly affected, the inability to ejaculate properly due to retrograde ejaculation significantly reduces the chances of natural conception. Assisted reproductive technologies are usually needed.
Can you live 30 years after prostate removal?
Yes, it is certainly possible to live 30 years or more after prostate removal. Prostatectomy is a common treatment for prostate cancer and other prostate conditions. With appropriate follow-up care and management of any side effects, many men can enjoy a long and healthy life after the procedure.
To conclude
Removing a man’s prostate can make it difficult to conceive a child naturally. However, pregnancy is still possible with the help of assisted reproductive technologies.
The best thing to do is talk openly with your healthcare providers and your partner about your options and your concerns, and consider other factors like the impact of green tea on fertility.