“If I Can't Live as a Man, I'd Rather Not Live at All”: Older Prostate Cancer Patients Discuss Doctors' Attitudes Toward Their Sexuality

Older men undergoing ADT often feel that their sexuality and masculinity are undervalued in clinical care. Physician communication may reflect ageist assumptions and insufficient engagement with patient preferences. These findings underscore the need for more patient-centered, culturally competent, and age-sensitive approaches in prostate cancer care, particularly around sensitive issues such as sexual function.