Updated

Hi Yvonne, How does losing a testicle affect a man's sexual response? I had an accident, so I wanna know from someone whose knowledge I can trust (and I think that I am asking the right person), if this loss will affect any aspect of my sexuality, like erection. Or will it somehow reduce my chance to have kids? Mitch

Dear Mitch, When a male only has one testicle - whether due to undescended testicles (cryptochidism), testicular cancer, or an accident - in most cases, his fertility will not be affected. His remaining healthy testicle should supply enough hormones and produce enough adequate, viable sperm to fertilize eggs, hence have children. To make sure this is the case for you, be sure to consult with your healthcare provider for information on your particular situation.

When it comes to your sexual response, physically, you should not react any differently in becoming aroused, reaching orgasm, and coming down from climax. Psychologically, however, you may grapple with a sense of loss. Men who find themselves with one testicle may feel inadequate, not as masculine, or self-conscious - all of which can impact his sexual functioning. If you're concerned that any of these issues are yours, or if you worry about how a partner might react, be sure to talk to a sex therapist about any psychological issues at play. A partner who truly cares about you will make every attempt to be compassionate, supportive, and understanding of your situation.

Dr. Yvonne KristAn Fulbright is a sex educator, relationship expert, columnist and founder of

Sexuality Source Inc.

She is the author of several books including, "Touch Me There! A Hands-On Guide to Your Orgasmic Hot Spots."