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This case report presents the unique sexual experience of an adult male who was diagnosed with and treated for prostate cancer. Following treatment, the man identified changes in his sexual orientation and engaged in same-gender sexual relationships. During sexual counseling, he reported satisfaction yet distress regarding his “new” sexual lifestyle. This report posits possible causes for the presentation of sexual change in this case, and considers physiological, psychological, and social contributors. In an attempt to understand the sexual changes experienced by the patient, the report invites thought about the types of intervention that may offer emotional support when an individual feels distressed by the experience of sexual change concurrent with illness.

Changes in sexual orientation following prostate cancer. Reflections based on a unique case report