The effects of androgen deprivation therapy on intimate relationships
Benefits of early awareness and intervention

Lauren M. Walker, BA and John W. Robinson, PhD, RPsych

Abstract

Androgen deprivation therapy (ADT) is an increasingly common treatment for men with prostate cancer. This treatment is associated with many side effects — loss of libido, erectile dysfunction, genital shrinkage, weight gain, loss of muscle mass and emotional lability — which often lead to emasculation and in turn can affect the quality of marital or intimate relationships. The physiologic changes associated with ADT are well documented, and several studies have examined the nature of the psychosocial changes men experience while on ADT. However, the effect that ADT can have on the quality of a man’s intimate relationships has only recently been studied. Emerging literature reveals the alarming finding that ADT often erodes the marital bond. It is therefore important to direct a spotlight on the challenges ADT brings to the lives of couples who are striving to maintain intimacy in spite of treatment. Our paper highlights current target areas for clinicians’ attention, suggests treatment ideas and examines strategies for restoring couples’ sexuality.