This topic is about dealing with sexual frustration after undergoing treatment for prostate and rectal cancer. The person sharing their experience is a man who, six years after treatment, is facing significant challenges due to the side effects of radiotherapy and surgery. These treatments have left him impotent and unable to ejaculate, and any attempt at orgasm results in severe pain. Despite these difficulties, his libido and erotic thoughts have increased, leading to frustration and disturbances in his sleep, which also affect his wife. He is seeking advice from others who might be experiencing similar issues.

Here are some insights and advice that might be helpful:

1. Masturbation is a common way to relieve sexual tension, but it may not be possible if it causes pain.

2. Recovery from pelvic surgery or radiotherapy can take a long time, sometimes 12 to 18 months or more. Regular follow-ups with a urologist can help monitor nerve recovery or identify other treatable issues.

3. Mechanical aids like vacuum erection devices, constriction rings, and inflatable penile implants can help achieve erections by bypassing some nerve damage.

4. If the pain during ejaculation is due to scarring or partial obstruction, discussing surgical options with a specialist might provide relief.

5. Intracavernosal injections, such as the Trimix compound, have been reported to be effective by some men. These are prescribed by a urologist and can be administered using an auto-injector.

6. Redefining intimacy can be beneficial. Couples can explore non-penetrative activities like kissing, touching, mutual massage, oral sex, and using sex toys to maintain closeness and satisfaction.

7. Alternative outlets, such as consensual oral sex with trusted partners, can help meet sexual needs when intercourse is not possible.

8. Engaging in activities like exercise, writing, hobbies, and social interactions can help channel libido and reduce psychological distress.

9. Many others, including those with similar medical conditions, have shared their frustrations. Knowing that you are not alone can be comforting and therapeutic.