ED, Cancer, and No Libido. Is My Sex Life Over?

I’m beginning to feel my sex life is over. First, I’m getting up there in years – I’m 64. I’ve fought ED for 15+ years and finally got a penile implant a year ago. I can now get really hard but lost over an inch from shrinkage from the ED. Also I was a lifelong bottom until I got anal cancer nearly 4 years ago. Chemo and radiation. Radiation caused scar tissue so getting fucked now is nearly impossible and painful. I became a Dom/Top in BDSM. Now I am on a heart pill that’s killed my libido. And I developed a lung condition that leaves me short of breath with exertion.

Is my sex life over? Any ideas, tips, suggestions? Sex and BDSM remain very important to me.

If I no longer have that I may as well be 6 feet under.

 

I’m sorry. It sounds like you’re going through a lot. It also sounds like you’ve evolved continuously and always fought for an exciting sex life, which is more than most people do, even those without the blows you’ve taken.

Friend, it is a fight. Since you’re willing to adapt — from bottom to top, to stay in the sex game after cancer and chemo — then it sounds like you still have some fight in you. If you didn’t, you wouldn’t have sent me this email.

I’m not a doctor, so I can’t offer suggestions for the medical struggles you’re experiencing. You must have an honest talk with your doctor about your sex life and ask what you can do to keep it active and fun. But I can talk about the last sentence you wrote.

I’m a fisting bottom, and for the past several years, I’ve enjoyed the reputation of being a pretty great hole. But this year I’ve faced down a gauntlet of issues, from addiction to colitis (intestinal inflammation, if you want to get gross), that have put me on a bottoming freeze. A few weeks ago, I was severely depressed. And if I’m being honest, if I think too long about my current sexual slump — the longest of my life, so far — I still get pretty depressed. In the height of my blues, I told my therapist that bottoming is one of my life’s great joys and if I can’t have it, I’m not sure life is worth living. And he said I really, really need to think about that.

What I essentially said is that life’s other pleasures — food, intimacy, travel, reading, friends — are rendered worthless when bottoming is taken away. What if all anal sex — topping and bottoming — was on the chopping block? Would that spell my departure from the world?

It’s a question worth asking, since many gay men are, in fact, unable to participate in the kind of sex that is assumed and even expected of us. Our culture doesn’t help; rather than create space for people with different abilities, we shut them out, and erotic media all but ignores them. We are pressured and expected to engage in anal sex, even though many of us are unable to do so.

So, ask yourself the question again. Is losing all sex tantamount to losing your life? Are the other riches of living crossed out by losing anal sex? I had to think about that question, and I’ve arrived again at the same answer I came to when I first tested positive for HIV — a time when I regularly asked myself if I wanted to keep living. I decided then — as I have decided every time I’ve asked the question since — that the moments of wonder are worth more than nothing, and nothing is what I’d be choosing by giving up. Moments of wonder will come again. They always do.

Sex and BDSM are important to you, so you must know that there are many kinks and fetishes that don’t involve anal sex. I’m sure you’ve participated in some of these. And if you’re willing to expand your definition of sex to everything other than anal sex, it’s not hard to see a massive buffet table of pleasures to be had. So, no, your sex life isn’t over. No one’s sex life ever has to end as long as they allow it to evolve and change. But you do have to decide what definition of sex you’ll take and what place anal sex holds in the list of things you value. It may help to actually write this list down and put it somewhere you can see it every day — that’s what I did.

You’ll have to decide if pleasure, intimacy, friendship, and connection are worth carrying on for, even with the possibility that anal sex might not be easily attainable going forward. That’s a decision only you can make.

There’s no right or wrong answer, and I’ve never shamed anyone for deciding to go when they want to go. We are fully in control of our lives and can decide when we’ve had enough. In theory, I don’t want to keep going after pleasure is gone. But here’s the thing: I got pleasure today from hugging my boyfriend. I got pleasure last night from reading a book. Even in a pandemic, when many people’s sex lives are in lockdown, pleasure appears in unexpected places and never ceases to make life worth keeping.

Love, Beastly

 

 

2 Comments

  1. I’ve read your response a few times and want thank you so much for your insight, empathy and understanding. Some days, some weeks are much worse than others. Many nights are sleepless, and days and nights racked with horrific pain and stiffness from arthritis. But between those times I sometimes marvel at simple things like a cloudless blue sky. So this with this two months of social isolation and with the shuttering of our bars and baths I’ve had more than enough time to think…and to get really fucking horny. As an old(er) man I got the urge to jerk off only two or three times…a month. But my efforts to restore my foreskin by tugging the loose skin I’ve already developed to eventually cover the head of my penis has kick started my libido. That looseness now affords me the ability to glide the skin over the corona very much like a natural foreskin when I masturbate. With all this alone time I’ve had time to adjust my thinking, reduce the depression and develop a newfound way to masturbate. I am finally able to orgasm and even ejaculate. It feels like someone must have released testosterone into the air because I’m always wanting to have sex and I’ve been jerking off almost daily. One last thing, in the mail today I received a prostate training kit which has much smaller anal probes that I’ll be able to hopefully use without producing pain or blood.
    Thank you so much. I think the work you do, your voice helps countless people like me. I highly respect you. I hope you continue to help people for as long as you feel gratified and fulfilled by it.
    Michael

    Like

    1. That last bit you wrote means a great deal to me. I forget sometimes that my writing actually helps, and it’s nice to know that. Writing doesn’t pay much, but it’s still very fulfilling to know that it makes an impact. That’s admittedly the only reason why I still do it. This may be indelicate, but if you think my work is valuable, please consider becoming a patron of my blog! The “Support This Blog” link at the top of the main page has all the details. No pressure, but I would appreciate it.

      Liked by 1 person

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