Sex After Prostate Cancer: Intimacy, Managing Leaks, and Resetting Arousal

madman

Super Moderator
Dr. Morgentaler's wife!





In this episode of the Dr. Geo Prostate Podcast, Dr. Geo speaks with psychologist and certified sex therapist Dr. Maryanne Brandon about how technology, porn, and AI are reshaping intimacy and contributing to a global decline in sex, including effects on young men’s arousal templates and dating dynamics. They discuss mixed messages around masculinity and vulnerability, practical guidance for parents of teens and young adults, and the importance of embodiment through activities like sports, the gym, and tai chi.

The conversation then focuses on sexuality after prostate cancer treatment—especially post-prostatectomy—including common challenges such as erectile dysfunction, orgasm-related urine leakage, depression, and poor sexual communication. Dr. Brandon emphasizes starting conversations globally (touch, closeness, connection), lowering performance pressure, planning for setbacks, and expanding definitions of intimacy beyond intercourse.

They cover strategies like urinating before sex, limiting fluids, condoms, constriction rings, incorporating rings into foreplay, modern male sex toys, and arousal-enhancing approaches such as lingerie, music, eye contact, and even selective porn use as foreplay. Dr. Brandon shares resources to find qualified sex therapists (AASECT.org and SSTARNET.org), highlights that women’s needs matter too, and explains her view that “having sex is innate, but making love is a learned skill.”





CHAPTERS


00:00 Is Your Phone Killing Your Sex Life After Prostate Cancer? (Intro + Guest Setup)
03:01 Global Sex Recession: How Tech, Dating Anxiety & AI Are Rewiring Intimacy
07:55 Porn, Anime & the ‘Arousal Template’: What Early Exposure Does to Desire
11:39 Raising Boys Today: Rejection, Masculinity/Femininity Shifts & What Parents Can Do
19:32 Back to Prostate Cancer: Intimacy Without Erections + The Reality of Sexless Marriages
23:32 Post-Treatment Roadblocks: Depression, ED, and Urine Leakage During Orgasm
25:25 How to Talk About It: Starting the Conversation Without Shame or Pressure
34:44 Rebuilding Arousal: Toys, Porn as Foreplay, Lingerie, and Finding a Sex Therapist
40:31 Practical Fixes for Leaks + Oral Sex & Orgasm After Prostatectomy
44:41 Finding the Right Sex Therapist (Experience, Fit & Comfort Level)
45:13 Women’s Needs Matter: Communication, Pleasure & Hormone Support
46:41 Plug: The Sex Doctors Podcast + ‘Lovemaking Is a Learned Skill’
47:46 What ‘Making Love’ Really Means (Connection, Energy & Intention)
50:12 Setting the Mood: Letting Go of Stress & Using Media as Foreplay
 
 
 

ExcelMale Newsletter Signup

Online statistics

Members online
1
Guests online
593
Total visitors
594

Latest posts

Beyond Testosterone Podcast

Back
Top