“…12,13 Additional sexual side effects of EBRT include altered sensation during orgasm, orgasmic dysfunction, ejaculatory dysfunction, incontinence during sexual activity, and changes to penile morphology and sensation. [14][15][16][17][18][19] The effect of SD on the quality of life (QoL) for men who have sex with men (MSM) is different as male-male sexual intercourse places a greater emphasis on erections, seminal fluid release, penis size, and the prostate as a pleasure centre, and also the change to an anal receptive role within a relationship may not be comfortable due to treatment, or desirable. 20,21 The evidence base relating to these issues suffers from variance in methods including ranges of scoring criteria, [22][23][24][25][26][27][28][29][30][31][32] and timing of both data collection and interventions.…”