Rehabilitating Pleasure and Libido after Medical Castration: A Neurological Therapeutic Approach

Introduction: Medical castration via endocrine treatments for hormone-sensitive cancers is life-saving but often life-altering [1-5]. Sexual side effects such as reduced libido and genital changes are common yet under-treated. A deep understanding of the neurological aspects of desire and the distinctions between arousal, and libido is crucial for effective interventions. Drawing on professional experience in neurorehabilitation, somatic sexology, polyvagal theory and lived experience as a hormone-positive cancer patient, this article introduces a novel, integrated program for pleasure and libido rehabilitation, tailored to adults who have undergone medical castration.