In this episode, Melissa welcomes Richard, a 71-year-old gay man, who shares his journey through prostate cancer diagnosis, treatment, and recovery, offering an honest look into the physical, emotional, and relational changes that come with it from the perspective of a gay man.

Key topics include:

Prostate Cancer Diagnosis and Treatment

Richard’s decision to opt for robotic prostate surgery over radiotherapy and the recovery process that followed.

Reflections on his initial fears, including concerns about anesthesia, biopsy discomfort, and his catheter experience during recovery.

Sexual Rehabilitation and Erectile Health

Richard discusses using a penis pump and pelvic floor exercises to prevent penis atrophy post-surgery, offering insights into the challenges and humor he’s found in the process.

Melissa provides recommendations on pump use, hair trimming for comfort, and ways to maintain sexual health as part of recovery.

Intimacy and Relationship Adjustments

Changes in Richard's intimate life with his partner, how they’ve adapted their relationship post-surgery, and exploring different forms of intimacy as they age.

Open discussions on same-sex relationships and how prostate cancer impacts sexual health and partnership dynamics.

Personal Reflections and Family Relationships

Richard shares his late-in-life coming out journey, the importance of family connections, and maintaining positive relationships with loved ones, including his ex-wife and daughters.

A heartfelt discussion on cherishing relationships and the importance of support systems through health challenges.

Next Steps and Health Management

Richard’s ongoing regimen: daily use of the penis pump, pelvic floor exercises, upcoming PSA test follow-up, and transitioning from incontinence underwear as his continence improves.