For men living with or beyond cancer, sexual dysfunction is a common consequence of their treatment and can have a negative impact on their quality of life, irrespective of their relationship status or sexual preferences (Dizon and Katz [84]). Treatment‐induced male sexual dysfunction includes erectile dysfunction, loss of or reduced sexual interest/desire, anejaculation (also known as dry ejaculation), retrograde ejaculation, climacturia (leakage of urine at climax) (Cunningham et al. [64]), anorgasmia (ejaculation is maintained but orgasmic sensation is lost), and sexual pain, specifically ejaculatory pain after surgery or radiotherapy or because of peripheral neuropathy following chemotherapy. Sexuality, however, encompasses much more than intercourse; it involves body image, masculine identity, attraction and sexual thoughts (Dizon and Katz [84]). These can be affected by changes associated with illness and treatment and may have a negative impact on men's sexual expression following cancer treatment (LCA [148]), particularly if the man also experiences anxiety or depression.

Men experience social, psychological and structural barriers to seeking help, particularly for emotional support (George and Fleming [111]). Men often feel that they need to be given an opportunity and allowed to discuss these concerns through a conversation initiated by someone else; they do not tend to initiate conversations and seek help unless an opportunity is created (LCA [148]).