How might prostate cancer treatment affect my sex life?

After prostate cancer treatment, you will experience some changes in your sex life. These changes can affect your body, mind and relationships. It can affect all of these areas as sexuality is not only physical, it includes your thoughts and feelings as well.

Sex after prostate cancer treatment

Common sexual changes to expect

The challenges you’ll have to work through depend on which treatment you have, how your body responds to treatment and your overall health and wellbeing.
For example, here’s a diagram
of how surgery can impact your sex life:
Mind Body Relationship venn diagram


Treatment can damage the nerves and blood supply needed for erections.


Cancer and sexual challenges following treatment can make you feel down and anxious, changing your feelings about sex.


Coping with cancer and sexual challenges with a partner, or your feelings about starting a new one.

With some prostate cancer treatments, men typically have issues with:

  • their penis not getting firm enough or staying firm for sexual activity

  • changes in orgasm or not being able to orgasm

  • leaking urine during sexual activity or when aroused

These changes do not occur after every treatment, so it’s important to talk to your doctor and care team about what you can expect. A sexual health counsellor or sex therapist can also be critical in guiding you towards satisfaction.

For more detailed information about changes after surgery, radiation therapy (radiotherapy) and hormone therapy,
choose a treatment below.

How might surgery affect my sex life?

How might radiotherapy affect my sex life

How might hormone therapy affect my sex life?

Coping with sexual changes

Many individuals say that after having prostate cancer and treatment, they initially struggled with sexual changes. And after working through these changes, although their sex life is different, they now feel satisfied with their ‘new’ sex life.

Here’s what some men have said about their new take on sex and intimacy:

“For months I thought my sex life was over and I would never orgasm again. I was playing around in the shower, and lo and behold, ACTION! It was an incredible feeling."

Iain — 48 years

“So far I have not been able to get my penis as hard as I want. I do feel angry at times and miss my old sex life. I’ve had to try new things, it’s a struggle."

Sam — 68 years

These are just a few thoughts men have had while working to improve their sex life after treatment.
It may not be easy at first, but have patience, share your feelings openly and regularly with your partner, and keep trying.

Remember, treatment doesn’t just affect one part of you. You’ll have to look across all 3 areas — your body, mind, and relationships — to improve your sexual wellbeing. It will take some work, but you don’t have to face any of these challenges alone. Your doctor and care team are here to support and encourage you.


Sex and relationships after prostate cancer diagnosis
Guidance on managing sex and relationships
Relationship support
Find a counsellor or sex therapist in Scotland
Find a counsellor or sex therapist in the UK
Find a specialist to help with sexual problems
Talking to your partner about sex
Support for partners

What's next?

Now that you've read up on How might prostate cancer treatment affect my sex life?, here are some related articles to explore as you continue to build your knowledge and understanding of this topic.
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