The Prospect of Prostate Cancer: A Challenge for Gay Men's Sexualities as They Age

Prostate cancer is one of the most common health conditions among older men and, thus, among older gay men. Prostate cancer and its treatments present a challenge to men's sexuality with each additional decade of aging. Men in same-sex relationships have a greater likelihood of contending with prostate problems-theirs, their partner's, or both. Yet, until very recently, this health concern for older gay men has not been a subject of study. Using focus groups, the authors explored gay men's knowledge of and responses to the potential sexual consequences associated with prostate cancer and treatments. The data suggest that gay men have little to no understanding of their prostate and the range of sexual challenges associated with prostate cancer and its treatment. In addition, gay men's reactions to potential sexual problems arising from treatment are shaped by their sexual practices, sexual roles, and beliefs about gay relationships and the gay community.