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Sex Tip: Pleasure After Prostate Cancer 🫶 (Patreon)

Published:
2025-11-11 15:07:01
Imported:
2026-10
Tags:

Content

Your pleasure story isn’t over…it’s just changing chapters. After prostate cancer treatment, erections might take a backseat for a while, but pleasure doesn’t have to. Nerves, muscles, and sensations can adapt with a little loving curiosity and patience.

Start with non-goal-oriented touch. No pressure to perform, just explore. Think warmth, breath, gentle stimulation around the perineum, scrotum, inner thighs, belly—maybe even anal or nipple play (if it feels good). These areas share nerve pathways with the penis and can still light up your pleasure system. And there are other tantalizing sensory snacks to play with too—what you taste, smell, see, and hear. Touch is just one part of your pleasure experience.

Some prostate cancer survivors say their sexual experiences feel more expansive because they’ve shifted away from being penis-focused. A few even report stronger, more satisfying orgasms.

So give yourself permission to play and explore. You might just discover some new turn-ons. 😉

I'm curious, what non-penis focused pleasure lights you up? Drop your thoughts below.

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Comments

Carlos

Dr. Susie I have a low grade prostate cancer that is under active surveillance. Recently my PSA showed an increase from 2.4 to 3.7 so as a result my care team decreased my testosterone replacement dosage. From what I have read in the past, most doctors are of the opinion that exogenous testosterone will fuel prostate cancer. Recently I have read that doctors are now thinking that testosterone does not fuel the cancer. Can you please give me your thoughts on this topic.

Carlos

In answer to your question above, I don't know if testicular massage is considered a non-penis activity but that lights me up.

Guy

Prostate cancer survivor here. Five years in remission so clinicaly considered cured. I underwent 28 sessions of IMRT and 6 months of ADT (hormone treatment/temporary medical castration). Where did you see comment that testosterone does not fuel cancer? I would be cautious and go to pubmed.gov for the latest medical studies. One major treatment for advanced prostate cancer is to reduce testosterone. When testosterone is reduced the cancer slows down. In millions of men. Pretty well established. After a number of years the cancer MAY become resistant to androgen (testosterone) deprivation. Not sure where the cancer finds the testosterone it needs at that point. When you are at the point of deciding which treatment to receive, get several opinions from not just urologists, but also radiation oncologist and medical oncologists. Most men are not fully informed. Check the expected side effects and the odds of experiencing those side effects of each treatment. When I made my decision, I was told that surgery will cause at least temporary ED and incontinence both of which may resolve based on your general health and age. Ask what you as a unique individual can expect, don't accept generalities. I was told that with radiation treatment ED might develop over time, that incontinence might develope over time. I was given 30% on ED. Actually, over age 70 the odds are 50-50. I was 74 at the time so decided to go with radiation to guarantee at least a few good years. I'm now 80 and have not experienced either. I did experience bleeding from the bowels which was cured with laser ablation. I recently did a colonoscopy where I had a chance to see what the ablated area looks like. Interesting. With radiation you will probably be advised to go on ADT (androgen depravation therapy/hormone treatment/temporary medically induced castration). Get at least two opinions on this as this causes strong menopausal symptoms; hot flushes, loss of libido, fatigue, over the top emotions (mood swings which were the worst part for me), brain fog, loss of muscle and bone mass, fat to the belly and breasts. If you really don't need it, don't do it. My opinion.

Carlos

Guy, thank you very much for all that great advice. It's great to get this type advice from someone who has been through it. I will definitely take your advice. Now I can;t remember which doctor made the comment that TRT does not fuel prostate cancer but it definitely was said, I think it was Dr. Alex Tatum and one other urologist. Once again, thanks for all your great feedback.

Dr. Susie Gronski - Doctor of Physical Therapy

Carlos - While hormone therapy isn’t my specialty, I can share that some physicians take a more conservative approach with testosterone therapy in men who have a higher prostate cancer risk, especially if they’re actively in treatment. Any hormone therapy comes with its own potential benefits and risks, so it really needs to be an individualized conversation with a provider who knows your history and can tailor the plan to you and your situation.

Guy

True. My providers monitor several factors that could be affected by testosterone treatment beyond PSA. I've requested quarterly checks until I have a high level of confidence that all is remaining consistent. PSA has been in the 0.1744 to 0.361 range, estradiol and hematocrit within standardized ranges after almost 2 years so I'll probably go on annual checks after December .