Sexual wellbeing and intimacy after prostate cancer
Sexual wellbeing and intimacy after prostate cancer often require rehabilitation and time with empathy from intimate partners to be patient and supportive.
Many men feel that prostate cancer (often resulting in a proctectomy – prostate removal) is similar to a woman having a hysterectomy, somewhat like removing his manhood often with a feeling of being sexually desolate. Working with many survivors of prostate cancer rehabilitation outcomes can vary depending on the surgery and other factors including regaining normal functionality.
In many cases with transurethral resection of the prostate (TURP) or nerve-sparing, proctectomy surgery erections and normal functions of the penis can be regained however work is required to re-build a relationship with your body somatically.
Some men that undergo full proctectomy’s may not be able to gain an erection or ejaculate externally, however in many cases can have intense orgasms, often providing even greater pleasure than that of an external ejaculation.
Solutions need to be tailored for each man and home practice is required the same as learning any new skill. Give yourself permission to focus on the pleasure of touch, and not as much on performance.
Here are some strategies to keep in mind, as you work through recovery.
Find the people you trust to support you.
Talk about how you feel.
Do not be afraid of feelings of grief, express them.
Stay active and engaged in your usual activities.
Stay connected with your partner (if you have one) through affection and activities you enjoy.
Give yourself permission to focus on the pleasure of touch, and not as much on performance.
Remember that sex is about more than an erection.
Signs and symptoms of prostate cancer
A need to urinate frequently, especially at night
Difficulty starting urination or holding back urine
Weak or interrupted flow of urine
Painful or burning urination
Difficulty in having an erection
Painful ejaculation
Blood in urine or semen
Frequent pain or stiffness in the lower back, hips, or upper thighs
In the event you are experiencing any of the symptoms, consult your doctor and get tested,
because you are worth it!
Treatment options are many and varied. Testing still can’t answer lots of key questions about disease aggression, prognosis, and progression.
If you have been diagnosed with prostate cancer, it’s important to keep in mind that many prostate cancers are slow-growing and may not need surgery or other radical treatment.
Treatment options include:
Active Surveillance
Prostatectomy
Radiotherapy
Hormone Therapy
Chemotherapy
Intimacy and pleasure with yourself and others is to be enjoyed, notice the sensations and cherish the joy of love and life.
For a confidential discussion around sex, intimacy, and pleasure and how this could support you? contact Jonn Close 61 416 012 852 or bodycurious.com
