Patient's question:
Last year, I underwent chemotherapy for left knee synovial sarcoma at a cancer hospital. The chemotherapy drugs used were ifosfamide and an exported product. I completed six cycles of chemotherapy. During the treatment, I was given diuretics. After the chemotherapy ended, my penis began to swell. It was fully erect when I crouched, more so when lying down. It could achieve an erection, but it lasted for a short time. My testicles developed normally. Last month, I had a sex hormone test, and the results were all high. The doctor prescribed me testosterone undecanoate soft capsules, which I took for two weeks without seeing any effect.Could the high endocrine hormones, penile atrophy, and the chemotherapy drugs or diuretics be related? How should this be treated?
Doctor's answer:
Your careful examination results suggest that the symptoms are related to perinatal endocrine dysfunction, which may be associated with the treatment you previously understood. It is recommended to consider using gonadotropin-releasing hormone analogs for treatment. Only by keeping the endocrine hormones stable can the erectile function be stabilized. For patients with erectile dysfunction, timely treatment can reduce the incidence, while delayed treatment may affect their physical condition. Therefore, patients should receive timely medication treatment and avoid overexertion in daily life.