Studies with male survivors of child sexual abuse (CSA) are limited in focus and only one study, to date, has explored survivor perceptions of sexual assault treatment services. The current study, sought to deepen the understanding of survivor experience by identifying the triggers and barriers for seeking support as well as how survivors overcome these barriers. A cluster case study design was used with three adult males. A hermeneutic analysis was utilized to identify and explore meanings from male survivor perspectives. The study found male survivors dealt with barriers to support, through a range of strategies, including adopting helping others, rather than seeking sexual assault treatment services. Hermeneutic analysis was identified as an empowering process that enabled male survivors express their experiences. Large scale studies are needed to explore the potential wide range of male survivor experience.