What You Need To Know About Intimacy And Sex After Prostate Cancer

From treatment side effects to the mental toll of a cancer diagnosis, learn how prostate cancer affects intimacy and tips for how to return to having a healthy sex life.

Published Nov 03 2020 • 7 min read

Prostate cancer is the second most commonly occurring cancer in men and the fourth most commonly occurring cancer overall. Affecting over 47,500 men yearly in the UK alone, the psychological effects on sexuality both physically and mentally can be significant. From the side effects of treatment to the mental toll of a diagnosis, there are many ways prostate cancer changes intimacy and sex. But there are ways for cancer survivors and their partners to reclaim their intimacy and return to having a healthy sex life with therapies and innovative solutions. If you are a cancer survivor or the partner of one, here are the things you should know about prostate cancer, sex and intimacy.

How can prostate cancer change intimacy?

Mental challenges

Experiencing cancer and facing your own mortality can hugely affect you mentally. With your mind preoccupied it is easy to ignore your sexual and intimate needs. However, it is important to remember that your sexual health contributes to your overall well-being and recovery. 

Dealing with body changes after treatment for prostate cancer can cause unwanted stress and anxiety specifically for men who may be dealing with erectile problems. If these feelings are severe it may be helpful to see a professional who specializes in sexual problems (sex therapist) or cancer after-care.

Erectile dysfunction

After prostate cancer surgery and treatment, around 85% of men will experience erectile dysfunction (ED), which is the inability to get or keep an erection long enough to satisfy penetrative sex or sexual activity. This is because prostate surgery can damage the nerves and muscles responsible for erections.

Performance challenges

After major treatment it is likely your performance in the bedroom will be affected at least temporarily, whether this is because of the physical side effects or mentally. Getting intimate can bring up a range of complex emotions as you get used to your body working differently.

Orgasm challenges

Another major change can be the orgasm experience. With many treatments changing your semen production it is common for people with penises to experience dry orgasms; whereby the feeling is still there but there is no ejaculation. This can feel very different from the experience prior treatment with many individuals finding the feeling of orgasm more intense.

How different prostate cancer treatments affect your sexual function

The prostate gland plays an essential role in sexual function in men. It produces a fluid that helps transport sperm during ejaculation. Treatment for prostate cancer can damage the nerves and blood vessels that control erectile function, leading to sexual side effects. The degree of sexual dysfunction depends on several factors, including:

  • The type of treatment received (surgery, radiation therapy, hormone therapy, or a combination of these)
  • The patient's age and overall health
  • The patient's sexual function before treatment

Sexual function can improve over time after treatment, but it may take months or years for some men to regain their sexual function fully. Below is how the different types of prostate cancer treatments might affect your sexuality, keeping in mind everyone’s body and circumstance will vary. 

Hormone therapy

With hormone therapy patients are likely to experience changes to sexual function including a decrease in libido and semen production. This treatment works through lowering your testosterone levels, something that is needed to have a healthy sex drive. These side effects last throughout and a few months after hormone therapy but generally are seen to improve with time.

Hormone therapy can also affect your body due to a decrease in muscle tissue and an increase in body fat; this can change your relationship to your body and how you perceive yourself. Just remember these changes are completely normal and take each day as it comes. 

Radiation therapy

Radiotherapy can damage blood vessels and the nerves that control erections, resulting in problems with erectile function. This can improve over time or through additional treatments that can help treat erectile dysfunction.

Due to the changes in semen production many people are still able to orgasm but experience ejaculation differently with little semen production.

Surgery

A radical prostatectomy can have side effects that impact your sex life. This includes erectile dysfunction (ED), shorter penis and orgasms without producing semen. Due to the inability to produce semen having children naturally is not possible, however, it is possible to store sperm before surgery for future fertility treatments.

High-intensity focused ultrasound

Risks of side effects include problems maintaining and achieving an erection however this is a relatively new treatment whose long-term side effects haven't been studied yet.

When can you have sex after prostate cancer treatment?

The timeline for resuming sexual activity after treatment varies from patient to patient. You should consult your doctor to avoid any damage or complications. Below are estimates of when you can have sex based on the treatment you received.

Partial or radical prostatectomy

Patients who undergo surgery to remove the prostate gland typically need to wait four to six weeks before resuming sexual activity. This period allows the body to heal and reduces the risk of complications. You may experience decreased sexual function after surgery, including erectile dysfunction and decreased sex drive.

Radiation therapy

If you receive radiation therapy, you may experience fatigue and other side effects that can affect sexual function. The timeline for resuming sexual activity varies, depending on your response to treatment. Some may be able to resume sexual activity within a few weeks of completing treatment, while others may need to wait several months.

Hormone therapy

This is often used to treat cancer that has spread to other body parts. This treatment can reduce testosterone levels, leading to decreased sex drive and erectile dysfunction. Patients may be able to have sex during hormone therapy, but it may be more challenging to achieve an erection.

Combination therapy

Some patients receive a combination of treatments for prostate cancer, such as surgery followed by radiation therapy. The timeline for resuming sexual activity after combination therapy depends on the type and extent of treatment.

Ways to navigate intimacy challenges after prostate cancer

Whether your intimacy issues stem from physical, emotional, or likely a combination of both, there are various treatment options available to help men and couple’s reclaim intimacy.

Communicate with your partner

Create an open dialogue with the people around you. This could initially be your doctor who can offer advice on how to look toward intimacy. They can help you feel more positive and in control of the next steps in your life. Highlighting treatments that can be started in the weeks and months after cancer treatments to help with intimacy.

Communicate then with your partner about new insecurities that you may have. After going through life-changing events your relationship with yourself is likely to have changed and evolved. A great way to heal is by discussing how changes affect you both physically and mentally. By rediscovering intimacy and desire with your partner you may find you feel closer to your partner than ever.

Make time for intimacy

Healing can be a long process, so celebrate every small victory especially when it comes to intimacy and feeling good. Put time aside weekly to enjoy getting close again to your partner, this doesn’t have to mean sex but rather intimacy such as kissing, cuddling and holding hands. This can rebuild your sexual relationship with yourself and your partner, making you feel more connected and restore some normalcy after cancer.

Get plenty of rest

Tiredness is a common side effect of all treatments for prostate cancer, this can cause you to lose interest in sex or quite simply not have enough energy. Take time to relax and unplug so you can re-energize.

Try medical ED devices & sex toys

ED devices and other sexual aids, like vibrators can be a helpful tool for patients who experience sexual dysfunction after prostate cancer treatment. Many types of sex toys are available that can help patients achieve and maintain an erection, like the medical male vibrator Tenuto 2.

This doctor-recommended vibrator is clinically proven to improve ED and performance anxiety in men. It uses localized vibrational therapy with 4 anatomically placed motors that boost blood circulation, resulting in a firmer erection and increased arousal – two major issues during and after prostate cancer. And because intimacy is a two-person experience, Tenuto 2 was designed to enhance pleasure for both partners during sex, making it a climactic experience for both partners.

Another common ED device is a vacuum erection device also known as VED. They use suction to draw blood into the penis, creating an erection. They are helpful for patients who have difficulty achieving an erection on their own.

You should always consult your doctor about what kind of aids and sex toys are safe to use before using them after surgery. Some types may not be suitable for patients with certain medical conditions.

Connect with other cancer survivors & your community

Talking about these changes with people in your support network such as partners, other cancer survivors and doctors can help you navigate your new norm after physical changes and the emotional toll. Don’t underestimate the power of your community to help you.

Takeaway

After prostate cancer and subsequent treatment, getting back to your daily routine can be difficult, but not impossible. While sexual function can be affected by prostate cancer treatment, survivors have many options to improve their sexual function and health, from medical vibrators to VEDS. Patients should discuss the timing of sexual activity and ask which sex toys they can use with their doctor to avoid complications. It may be awkward, but working with them will help you regain your quality of life after prostate cancer treatment. Take control of your sexuality and take steps to start enjoying sex and intimacy again.

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    Anon, US
    Verified Customer
    Miles ahead in technology and quality compared to other vibrators out there. Really beautiful design. Thanks.
    Hope, US
    Verified Customer
    This MysteryVibe devices are really well designed and built to last. I had a problem with the vibrations so I downloaded this app and the latest firmware update actually fixed the problem !
    Mya, US
    Verified Customer
    I purchased the Tenuto Mini and was very pleased with the device yet, unfortunately there was a technical fault. I contacted Customer Service and they resolved it right away. From my experience I believe you can trust them to deliver First Class customer service. Also, it's worth pointing out that the Tenuto Mini I purchased was of high quality materials and construction.
    Ed, US
    Verified Customer
    Purchased a product that was not quite right for me personally. The team at MysteryVibe handled every aspect of the no hassle return smoothly, and efficiently. They are a model of how a company stands behind its promises regarding returns. Even though the product wasn't right for me, I still highly recommend MysteryVibe to anyone interested in their product lines because of their exemplary customer service!
    Tony, US
    Verified Customer
    Great product, really innovative and easy to use! I love using it by myself and also used it with my partner and it worked very well!
    Rachel, GB
    Verified Customer
    Kudos to the company for developing a product that can be used solo and by couples. My first experience was solo. Getting the Tenuto on does take some getting used to, but I quickly learned the best way. I used the phone app and I was amazed at the stimulation in so many different areas. I let the app cycle through the different patterns and used different intensities to get an idea of what was possible. My body responded as one might expect and time to climax was much sooner than I expected. Another indication of a great product. Looking forward to trying this with my partner.
    rf, US
    Verified Customer
    Was a great experience, start to finish, and highly recommend for anyone else looking to spice things up a little.
    Mohsen, GB
    Verified Customer
    App is straight forward and offers some interesting options and functionality. I have received multiple updates from the company since I installed it. I am sure it will continue to improve over time but for now, it seems stable and reliable which is important to me.
    Pauline, GB
    Verified Customer
    Excellent customer service. Quality products.
    Victor, US
    Verified Customer
    Can't say enough about how great this company and product are. Don't walk, run to their website and super charge your sex life!
    Pamela, US
    Verified Customer
    Crescendo, such great product. It is very comfy to use and it fits perfectly. I recommend it 100%
    Patricia, ES
    Verified Customer
    Endless possibilities! Imagination and sexual wellness combined!
    Sigi, MX
    Verified Customer
    Excellent … says it all.
    Andy, GB
    Verified Customer
    Sensational, as advertised.
    Gerald, US
    Verified Customer
    The best vibrator I've come across to this day.
    Kenneth, US
    Verified Customer
    Each folding part has it's own motor inside of it, so there aren't any dead-zones. The whole thing feels very alive. There's also a perfect amount of stickiness to the moving parts. A+
    Earl, US
    Verified Customer
    The product is fantastic....very durable and original.
    Timothy, US
    Verified Customer
    Amazing, forward-thinking tech that puts pleasure and communication first. Really impressed to see how technology can improve rather than replace intimacy. Just so much fun to use.
    Robbins, US
    Verified Customer
    I bought a product that did not work initially, and the customer support did an amazing job of giving directions on how to use it properly. It took a bit of time to figure out all the functions but now it's become an essential part of our bedroom. I'd 100% buy and support this company again.
    Charles, US
    Verified Customer
    Tenuto gave me the best hardon ever! Gave the application to the missus and she drove me wild by edging and edging till I simply needed to snatch the telephone back and detonate!
    Shirley, US
    Verified Customer
    A product like no other. Its a piece of art that can deliver a great deal of fun while also helping with health issues. Beautifully designed, its the Rolls Royce of vibrators.
    Ben, GB
    Verified Customer
    I was very impressed with the response time in regards to my reporting a problem. In addition, it was escalated to the CTO which in my world is to the very top. We had a meaningful dialogue via email and am things got sorted out. It seems to have been user error and not machine or software issue. Terrific company.
    Tom, US
    Verified Customer
    Amazing, forward-thinking tech that puts people and communication first. Really impressed to see how technology can improve rather than replace intimacy.
    Michael, US
    Verified Customer
    Amazing :D It is very different from all the other products out there and I was really surprised how good it is. Definitely worth the money.
    Sandra, GB
    Verified Customer
    I've worn the Tenuto and experienced fabulous climaxes. It might turn out to be a daily use thing for me.
    Scott, US
    Verified Customer
    I received the shipment very quickly and the packaging/boxing was excellent. I had an issue and wrote to them. This company's customer service is fantastic. Quick response, immediate resolution of my issue, and courteous as well. I haven't experienced this kind of customer-oriented service very often for a long time. Kudos to the company and their awesome customer service team!
    Vera, US
    Verified Customer
    Extraordinary application! Truly like the straightforwardness, excellence in effortlessness for sure
    Tony, US
    Verified Customer
    As an engineer, I am extremely impressed with the True craftsmanship in all their products.
    Allen, US
    Verified Customer
    It's very cool and the app makes it smooth for my partner to use it on me whenever wherever he want.
    Humberto, VE
    Verified Customer
    Fantastic company for sexual health, great products. I have found that this company seems to carefully listen to their customers and thoughtfully responds to their emails. Keep up the good work
    Hannah, GB
    Verified Customer
    Love Crescendo - so bendy and versatile and application makes it significantly increasingly adjustable!
    Susan, US
    Verified Customer
    Good quality item and swift delivery. Wife seems pleased to say the least.
    Kieran, GB
    Verified Customer
    I received the Crescendo as a gift, and let me tell you ... I bless that person every day! The product taught me about self-care way more than I ever expected! It is versatile and allows you to explore different angles to suit your body exactly!
    Masha, PT
    Verified Customer
    Crescendo works well as a prostate massager. The lock feature enables you to set it and forget it. It's flexible and vibrates from one end to the other. I like the length and thickness. I recommend it to friends.
    Dennis, US
    Verified Customer
    I cherished the product at any rate and the application makes it significantly cooler!
    Martha, US
    Verified Customer
    High-quality product that delivers on its promises!
    Michael, US
    Verified Customer
    I received Tenuto 2 as gift and was skeptical to use at first. Once I got over the fear and used it, I really noticed a difference and now use it everytime I have sex. 11/10
    Conor, GB
    Verified Customer
    I love the devices, thank you so much
    Karma, BE
    Verified Customer
    The company has been fantastic in communicating with me and helping solve any issues I had. They are very responsive
    Seatt, US
    Verified Customer
    Excellent products, i got myself a Crescendo and I am absolutely astonished for how fabulous it is. And then the staff at Mystery Vibe is absolutely kind and efficient!
    Miss, IT
    Verified Customer
    Kudos to the company for developing a product for ED that can be used solo and with your partner. My first experience was solo. Getting the Tenuto on does take some getting used to, but I quickly learned the best way. I was amazed at the stimulation in so many different areas. My body responded as one might expect and time it took me to climax was much sooner than I expected. Another indication of a great product. Looking forward to trying this with my partner.
    Scott, US
    Verified Customer
    I contacted customer service with a health question I had related to my new purchase. They responded very quickly and addressed answered all my questions. In this day and age this type of customer service is rarely seen I am extremely satisfied and I fully recommend this company to anyone thinking about making a purchase
    Steve, US
    Verified Customer
    I purchased the Tenuto (the first one) about 2 years ago. It worked fine so recently when the Tenuto 2 came out I got that one. This version of Tenuto has the same dimensions but more powerful vibrations, so I was very pleased. There is no other device like it on the market and I am glad to have the new one. Many thanks!
    Ken, CA
    Verified Customer
    Great customer service! I would recommend this company just on the customer service experience. Their products seem very well made, but the one my husband purchased was too small. The issue was resolved with the company in a very timely manner.
    KT, US
    Verified Customer
    Great App, this is substantially better than all the other ones I have tried before! Especially love the ability to live control each vibration motor.
    Ruth, US
    Verified Customer
    Finally got my Tenuto, felt like a kid on xmas day. Lovely packaging and instruction sheet about device. I have tried it for 'fit' and after a bit of reorganising my bits it looks and feels comfortable. Wow is my first word for my first time trying it...Very good feelings....! :-)
    Richard, GB
    Verified Customer
    I can honestly say that in a fairly short period of time using the Tenuto it is a legitimate product that has exceeded my expectations. Great Job! The sensation each individual motor provides is one of the unique features that I feel separates it from other male devices. Until now I have been disappointed with the other products for men and questioned if a similar stimulation was achievable in men like it is with women.
    Cooley, US
    Verified Customer
    Unreal product and service. Best.
    James, GB
    Verified Customer
    Love the application. Bring back recollections of my game controllers!
    Melissa, US
    Verified Customer
    I love the products. Always a pleasure to use them, the quality, the look and feel, design - everything is top level!
    Varya, AR
    Verified Customer
    The crescendo 2 is such a great device for my wife...these products are extremely well made and designed to help with intimacy and I hope that anyone who tries the products has success and many years of use..thank you
    John, US
    Verified Customer
    What a wonderful company. Not only are their products great, their customer service goes above and beyond. My husband bought me the Crescendo almost 2 years ago. It's one of the best vibrators I have ever used. Love using it with my husband so much, I ordered the Tenuto as a Christmas gift for him. I recently lost the charging pad for my Crescendo. I couldn't find a replacement on the website. So I emailed the company to buy a replacement. They responded the same day and are sending me a new charger free of charge. Best ever!
    Tracy , US
    Verified Customer
    I bought crescendo 2 - highly recommend, high quality product, great customer service and delivery on time! I have also bought poco, can't wait to try!
    Billie, GB
    Verified Customer
    Thank you for such an amazing product. I'm super happy with the Tenuto and it is really comfortable to use. I was intrigued about creating a unique vibration pattern for myself and love discovering new patterns using the app!
    Noah, US
    Verified Customer
    Everything about the company is upfront and professional. Customer service is exceptional. It's clear they care about the experiences people have with their products, between the quality of the products themselves to the very helpful information on the website and included with the products to customer support, this company shines.
    Dominique, US
    Verified Customer
    Amazing product, looks like it was custom designed to fit my body. Very comfortable, perfect features, adjustable to my specific needs. Very convenient, you can take it anywhere! Is very discreet, ppl honestly will ask if is a remote control. So you can keep your privacy. Battery lasts very long so I couldn't ne more happier. Helps me a lot to improve my confidence. Highly recommended
    Tayanra, GB
    Verified Customer
    I reached out after my delivery was 2 days past and was saddened to learn my order was lost in route, but Customer Support made quick work of righting the situation! Literally took less than 5 minutes to send the email and they were exceedingly prompt in getting back to me. Replacement order sent free of charge. Great service.
    Cosemu, US
    Verified Customer
    Received a fast response on my first post and changed it to excellent, seems there was a mix up.
    kulig, US
    Verified Customer
    As with most organizations, what makes a "difference" is the customer service. These people excel at customer service!. They go the"extra mile"! They take the extra step! They follow up in a timely fashion! And they "Make it Right"! I have not seen this type of response in other companies.
    Roemer, US
    Verified Customer
    Apparently, there was a glitch in the shipping software which caused the holdup of the order processing unbeknownst to the company. The company was very apologetic and resolved immediately by their CEO! Five stars for their prompt resolution.
    Thomas, US
    Verified Customer
    Really positive experience from my product. Also the only email newsletter I actually read. Such an important message to explore.
    David, GB
    Verified Customer
    The product is more than expected. Recommended for all!
    DH, US
    Verified Customer
    I always have a hard time getting my knee to relax when it's flared up and wrapping the Crescendo around my knee with a gentle vibration has really helped. And having the app makes using it so much easier so I can just lie back and adjust the power remotely. This is a total life saver, especially in the winter.
    Ximen, US
    Verified Customer
    Surprised at the how powerful the vibrations are for something so compact and slick! Love it!
    Tim, GB
    Verified Customer
    Crescendo is a great product and a great company. My wife and I love Crescendo and have derived many hours of pleasure from it. It is one of my wife's favorites! Recently our Crescendo stopped working. The customer service team were so kind and helpful with getting our Crescendo replaced. In spite of the fact that it had been over 2 years since our purchase they stood behind their product and quickly and easily got us a replacement. Aside from just being great with the replacement there was a real warmth and appreciation of us as customers during the process.
    Jeremy, US
    Verified Customer
    Excellent product, we love it so much. Thanks
    Anna, GB
    Verified Customer
    Simply the best tool to rebuild love. High-quality product that delivers on its promises!
    Noelia, US
    Verified Customer
    This is a reputable company producing high quality products. If you have an interest, don't hesitate trying their products.
    MB, US
    Verified Customer
    Wow. This was a one of a kind experience. I highly recommend using these products.
    Sherif, US
    Verified Customer
    After learning an earlier model first generation unit no longer had a charger I needed to replace my model. They simply gave me a free new device of my choosing with sincere apologies they couldn't assist my initial request since they no longer make that product. There was nothing technically wrong with my first unit, just I had lost the charger. The new package arrived and again the style, design, functionality, feel, and power is incredible. Many thanks! You are the best at this game!
    CS, US
    Verified Customer
    Excellent customer service! They were extremely responsive and took care of my issue the same day!
    Larry, US
    Verified Customer