Does chemotherapy treat testicular cancer?

Testicular cancer includes different types, and treatment depends on the type, tumour markers, scans and whether cancer is present outside the testicle. An operation to remove the affected testicle is commonly part of diagnosis and treatment. Chemotherapy may then be recommended to treat cancer cells that cannot be seen, or to treat spread to lymph nodes or other organs. Some people need monitoring or another treatment instead. Your specialist will explain how the findings shape the plan.

Ask about the treatment aim, the medicines in the regimen, monitoring tests and fertility. Chemotherapy can affect sperm production, so discuss sperm banking before treatment if having biological children may matter to you. Tell the team about hearing problems, kidney concerns, nerve symptoms and every medicine you take. Keep appointments for blood tests and scans even when you feel well.

Call the oncology service urgently for fever or chills, severe breathlessness, chest pain, confusion, uncontrolled vomiting, very little urine or unusual bleeding. New severe pain, swelling, or sudden shortness of breath needs prompt assessment. Use the emergency instructions supplied by your treatment centre rather than waiting for the next appointment.

What type of testicular cancer do I have? Do my tumour markers or scans change the treatment? How will chemotherapy affect fertility, hearing or nerves? Which symptoms require an urgent call? How will follow-up check for response?