Men's Satisfaction Research Articles

A machine learning approach for analyzing sexual satisfaction based on psychological features

AbstractThe emergence of machine learning techniques has revolutionized various fields, helping to shed light into the complexities of human sexuality and address sexuality-related problems. The present study aimed to classify sexual satisfaction in both women (n = 503) and men (n = 342), who completed a digital survey aimed at Colombian adults based on a snowball sampling. Collected data were analyzed using several supervised learning algorithms where inputs included marital status, sociosexuality, sexual drive, sexual functioning, and personality traits. The results showed that the XGBoost model provided best classification results for sexual satisfaction in women, while the Artificial Neural Networks (ANN) had the best performance in classifying sexual satisfaction in men. In both groups, sexual functioning and sexual drive were the most significant predictors of sexual satisfaction. Traits such as extraversion, narcissism, machiavellianism, and sociosexual behavior had a lesser importance. Lastly, psychopathy emerged as a significant predictor of men's sexual satisfaction, whereas conscientiousness emerged as a significant predictor of women's satisfaction. This study provides a technological tool to classify sexual satisfaction using Machine Learning models, in addition, provide, in terms of entropy, variables with the greatest influence based on the data and predictions.

The lifestyle of new middle-aged and older adults in Taiwan described by wearable device: age and gender differences.

Studies of lifestyle through comprehensive objective and subjective measurements of health outcomes are lacking. An examination of lifestyle factors in middle-aged and older adults in terms of age, gender, and the interaction effect of age and gender from physiological and psychological perspectives are imperative. Recent advances in technology such as actigraphy have facilitated objective measurements. This exploratory study contributes to research on age and gender interactions on circadian rhythm, physical activity, sleep, and psychological variables by employing wrist accelerometers to measure behavioral circadian rhythm objectively and by using questionnaires to assess psychological status subjectively. The data were drawn from 218 participants aged 50 and older from the "Middle-aged and older adults Chinese Health and Actigraphy in Taiwan (MOCHA-T)". The results: (1) older adult group is associated with declined physical activity (MVPA time 79.9min VS. 107.9min, p = .002), worse sleep efficiency (78.1% VS. 81.9%, p = .008), and earlier lifestyle (Acrophase 14.19h VS. 14.69h, p = .01) comparing to middle-aged group. (2) Women have a more regular lifestyle (Interdaily stability 0.6 VS. 051, p < 0.001), higher physical activity (MVPA time 105.7min VS. 79.3min, p = .004), and better sleep efficiency (81.6% VS. 77.8%, p = .011) than men. (3) Significant age-by-gender interactions existed in life satisfaction (p = .025), relative amplitude (p = .016), and total wake time (p = .038). Furthermore, aging was associated with significant increases in life satisfaction among men as well as significant decreases in relative amplitude and reductions in the total wake time among women. In conclusion, aging exerted differential effects on life satisfaction in men as well as relative amplitude and the total wake time in women. This result highlights disparities in lifestyle arising from interconnected social and biological challenges.

Reciprocal associations between depressive symptoms and satisfaction with sexual life in older adults: the roles of gender and importance attached to sexuality

Objectives To gain insight into the longitudinal, reciprocal associations between depressive symptoms and sexual satisfaction as well as the potential moderating roles of gender and perceived importance of sexuality. Method We analyzed longitudinal data from 2113 participants of the Longitudinal Ageing Study Amsterdam (LASA) with an initial age range of 54–93 years, using Generalized Estimating Equations (GEE). Results There were no significant associations between baseline depressive symptoms and change in sexual satisfaction, nor between baseline sexual satisfaction and change in depressive symptoms. Gender and perceived importance of sexuality were moderators: in men higher depression scores were associated with a decrease in sexual satisfaction, whereas in women higher depression scores were associated with an increase in sexual satisfaction. In participants for whom sexual life was important, higher depression scores were associated with a decrease in sexual satisfaction. In participants for whom sexual life was not important, higher depression scores were associated with an increase in sexual satisfaction. Conclusion The associations between baseline depressive symptoms and change in sexual satisfaction as well as between baseline sexual satisfaction and change in depressive symptoms varied according to gender and importance ascribed to sexuality. Potential explanations might lie in the different roles sexual activity plays in sexual satisfaction in men and women.

Kindness or Intelligence? Angry Men are Perceived as Less Intelligent by Their Female Romantic Partners.

We were interested in how people in a romantic relationship would perceive the intelligence of their partners who have high or low trait anger. Specifically, we referred to the tension between compassion (low anger) and competence (high intelligence) in mate choice. Some evolutionary theories suggest that mating might be considered a bargaining process between these two higher-order attributes. Our study involved 148 heterosexual couples in romantic relationships. We measured the relationship between relationship satisfaction, trait anger, objective intelligence, self-assessed intelligence, and subjectively assessed partners' intelligence. We found that angrier men were less satisfied in their romantic relationship than those men who were less angry, and their partners were also less satisfied in the relationship. Additionally, women perceived angrier men as less intelligent, an effect that remained after controlling for men's objective intelligence. Lastly, we found that women's perception of their partner's intelligence mediated the link between men's anger and relationship satisfaction for both sexes. Our findings suggest that both anger and intelligence play important roles in romantic relationship functioning, consistent with evolutionary theories that emphasize the value of competence (i.e., intelligence) and compassion (i.e., low anger) in romantic partners. Furthermore, our study highlights the importance of women's perception of their partner's intelligence in determining the quality of the relationship.

Social and Mental Health Factors Associated with Sexual Satisfaction Among Older Gay Men.

The internalization of ageist stereotypes or messages based on the framework of an aging gay man is known as internalized gay ageism. Internalized gay ageism may influence an older gay man's sexual satisfaction. The aim of this study was to examine the relationship between internalized gay ageism and sexual satisfaction and determine if body image was a potential mediator. A cross-sectional online survey collected data on sexual satisfaction and other variables related to sexual health and well-being among older gay men. Inclusion criteria included: aged 50 or older, identified as gay, identified as male, assigned male at birth, and resided in the Midwestern region of the United States. Descriptive, bivariate, and mediation analyses were conducted. A complete mediation effect was found between internalized gay ageism and sexual satisfaction when mediated by body image. Older gay men who were in open relationships were more sexually satisfied than single/widowed older gay men. Future research should continue to explore internalized gay ageism, relationship status, body image, and sexual satisfaction among older gay men.

Anxiety and depression in young adults: The role of perceived romantic partner drinking

AbstractThis cross‐sectional study examined how perceived partner drinking relates to relationship satisfaction and symptoms of anxiety and depression across romantic drinking partnerships. Participants included 239 cisgender, heterosexual undergraduate students in current romantic relationships (Mage = 19.74; 76.15% female; 87.87% White) who reported their own and their romantic partner's drinking. Associations between drinking partnerships, identified via K‐medoid cluster analysis, and internalizing symptomatology were examined utilizing hierarchical linear regression. Perceived partner drinking problems were associated with symptoms of depression but not anxiety. Two drinking quantity (concordant light, concordant heavy) and three drinking problem (concordant light, discordant female high, discordant male high) partnerships were identified. Broadly, men's anxiety and relationship satisfaction were significantly impacted by their drinking quantity and problem partnerships, respectively; this effect was not observed for women. The findings of this study extend extant research on the impact of romantic partner drinking to unmarried, collegiate emerging adults who are at an increased risk of internalizing symptomatology and alcohol use and inform conceptualization of drinking partnerships at the drinking quantity and drinking problem level.

(O-15) SEXUALITY IN PATIENTS WITH ADVANCED PROSTATE CANCER: A REVIEW

Abstract Introduction Androgen deprivation therapy (ADT) remains the gold standard in treatment of advanced prostate cancer (APC). Disease remission means improved quality of life, mental health, social interactions, in addition to pain reduction. However, most experience a significant drop in sexual desire, reduction in rigidity and duration of erections, and a decrease in the frequency of sexual intercourse. Material and Methods A review of literature on sexuality in patients with APC was carried out. Results The prevalence of sexual dysfunction (SD) in patientes with APC is higher. However, its treatment remains in the background, considering the priority given to oncological treatment. Assessing baseline sexual function before starting ADT, as well as monitoring changes that occur during treatment are important aspects to mitigate negative effects. Individualization of the therapeutic plan allows satisfactory erectile response with oral medications in up to 33% of patients, reaching 80% with the use of combined therapies, such as injections and vacuum devices. Intermittent ADT appears as an interesting option for selected groups of patients with APC, with biochemical recurrence and low-volume metastatic disease, allowing a recovery of sexual function in the intervals without treatment, although recovery of sexual function becomes less pronounced and treatment-free intervals become shorter over time. Conclusions The significant drop observed in sexual health still remains a major challenge in the management of patients with APC. Although physical and psychosocial variables may be involved in the etiology of SD, erectile function remains the main determinant of sexual satisfaction in men undergoing any treatment for prostate cancer. Despite emerging themes have been observed in the literature, such as sexual psychotherapy and the role of physical exercises in mitigating the negative effects of ADT, specific studies in this population are still needed. Financing No conflict.

Relation Between Desire and Sexual Satisfaction in Different Typologies of Adherence to the Sexual Double Standard

This study examines the association between sexual desire and sexual satisfaction in sexual double standard typologies (i.e., egalitarian, man-favorable and woman-favorable) in the sexual freedom and sexual shyness areas. The sexual double standard (SDS), sexual desire (partner-focused dyadic, dyadic for an attractive person, and solitary) and sexual satisfaction were assessed in 444 men and 499 heterosexual women with a partner (M = 37.33; SD = 12.09). The results showed that dyadic sexual desire toward a partner was the main positive predictor of sexual satisfaction for men and women in all the SDS typologies, and in both the sexual freedom and sexual shyness areas. Solitary sexual desire was negatively associated with sexual satisfaction in men and women adhered to the woman-favorable SDS typology, and in men in the egalitarian typology in the sexual shyness area. Sexual desire for an attractive person showed no relation with sexual satisfaction. In conclusion, the importance of the SDS in relating sexual desire and sexual satisfaction in men and women is highlighted.

Does body positivity work for men as it does for women? The impact of idealized body and body positive imagery on body satisfaction, drive for thinness, and drive for muscularity

Exposure to body-positive imagery plays a positive role in women's body image. However, literature has not examined if this is the case for men too. In this study (N = 207), we examined the impact of idealized body and body-positive imagery on both men's and women's body satisfaction and body image concerns. Participants were asked to report their positive and negative mood, body satisfaction, drive for thinness, and drive for muscularity before and after being exposed to either control (landscapes and animals), idealized body, or body-positive imagery. Results showed that women were overall more dissatisfied with their bodies and reported a stronger negative mood and a higher drive for thinness than men. Men, instead, reported a higher drive for muscularity. Exposure to idealized body imagery decreased positive mood and body satisfaction in both men and women. In contrast, exposure to body-positive imagery increased body satisfaction and decreased the drive for thinness in both men and women. Drive for muscularity was not affected by the type of imagery. The findings show that idealized body and body-positive imagery have similar effects on men and women and showcase the importance of considering the effects of body-positivity content for both genders.

MALE CIRCUMCISION

Male circumcision is often practiced across the world for a variety of reasons including health, medical necessity, beauty, tradition, or religion. Jews have practiced male circumcision since Abraham's time and continue until now. This practice is obligatory for Jewish males soon after they are born. In the New Testament, we read Paul talks about circumcision as the practice of Jewish belief, and for Christians, he said spiritual circumcision is the new law of the New Testament. Now, male circumcision is not only related to religion, and culture but connect to the health issue. The interpretation of religion, culture, and health become an interpretation debate over many years. There is Circumcision either improves or decreases male sexual function or satisfaction. It is critical to understand how male circumcision (MC), especially when performed in childhood, impacts men's sexual satisfaction and performance. The topic is also quite contentious. Our objective is to give a comprehensive study of the studies on the influence of male circumcision from Jewish, Christian, and health interpretations.

Pharmacological Prescribing and Satisfaction with Pain Treatment Among Non-Hispanic Black Men with Chronic Pain.

Pharmacological strategies are often central to chronic pain management; however, pain treatment among non-Hispanic Black men may differ because of their disease profiles and healthcare interactions. However, less is known about pain medication prescribing and patients' satisfaction with pain treatment and management among non-Hispanic Black men with self-reported chronic pain. This study assessed factors associated with non-Hispanic Black men being prescribed/recommended narcotics/opioids for chronic pain and their satisfaction with pain treatment/management. Data were analyzed from 286 non-Hispanic Black men with chronic pain who completed an internet-delivered questionnaire. Participants were recruited nationwide using a Qualtrics web-based panel. Logistic regression was used to identify factors associated with being prescribed/recommended narcotics/opioids for pain management treatment. Then, ordinary least squares regression was used to identify factors associated with their satisfaction level with the pain treatment/management received. On average, participants were 56.2 years old and 48.3% were prescribed/recommended narcotics/opioids for chronic pain. Men with more chronic conditions (Odds Ratio [OR] = 0.57, P = 0.043) and depression/anxiety disorders (OR = 0.53, P = 0.029) were less likely to be prescribed/recommended narcotics/opioids. Men who were more educated (OR = 2.09, P = 0.044), reported more frequent chronic pain (OR = 1.28, P = 0.007), and were allowed to participate more in decisions about their pain treatment/management (OR = 1.11, P = 0.029) were more likely to be prescribed/recommended narcotics/opioids. On average, men with more frequent chronic pain (B = -0.25, P = 0.015) and pain problems (B = -0.16, P = 0.009) were less satisfied with their pain treatment/management. Men who were allowed to participate more in decisions about their pain treatment/management reported higher satisfaction with their pain treatment/management (B = 0.55, P < 0.001). Playing an active role in pain management can improve non-Hispanic Black men's satisfaction with pain treatment/management. This study illustrates the importance of patient-centered approaches and inclusive patient-provider interactions to improve chronic pain management.

Men's satisfaction with female/unisex and male incontinence pads: a comparative clinical audit.

Urinary incontinence is a common and impactful condition. Despite the availability of incontinence pads specifically designed for the male form, many men use pads designed to fit the female anatomy. This clinical audit-based study compares female/unisex and male incontinence pads in male community patients with urinary incontinence. A survey was used to collect Likert-scale data on overall satisfaction and satisfaction with specific aspects of female/unisex and male incontinence pads, as well as with their health and wellbeing and situation and attitudes before and after intervention. Qualitative data were collected on positive features of, reasons for dissatisfaction with and suggested changes to each pad. Among 18 participants, and in all but one domain, satisfaction scores were higher for male pads overall, with the greatest increases in score (1-5) for physical coverage of genital area (1.5), ability to hold urine without leaks (1.4) and level of comfort when wet (1.3). Using a male pad had a positive impact on participants' sense of health and wellbeing. Positive qualitative feedback focused on comfort, ease of use and reliability, as well as the anatomical fit of the male pad. Sex-specific fit is an important factor in the acceptability of an incontinence pad for men with urinary incontinence. Wearing pads specifically designed for the male anatomy provides men with a greater sense of comfort and confidence.

Sexual function in adolescents and young adults (AYA) with Bladder exstrophy-epispadias complex: Influence of the incontinence

BackgroundBladder exstrophy-epispadias complex (BEEC) is the most severe congenital anomaly involving the urinary tract. Currently, there is a growing interest in the long-term outcomes and their impact on quality of life (QoL). MethodsOur aim was to determine the incidence of urinary incontinence and whether it affects sexual function. The study population included BEEC patients >18 years treated at a specialized third-level hospital. We contacted them via telephone and emailed a voluntary online questionnaire which was anonymously self-completed. The online test included validated questionnaires to assess the following parameters: incontinence (ICIQ-SF), LUTS (ICIQ-FLUTS/IPSS) and sexual function (FSH/FSM2). Answers of the questionnaires were collected into a database for further evaluation. Statistical significance was defined by p < .05. ResultsAmong the thirteen patients (7 men and 6 women) who answered the questionnaire the median score on ICIQ-SF was 6/21. Based on that questionnaire only 4 patients (30.8 %) were classified as continent (ICIQ-SF = 0). However, when directly asked if they were able to stay dry in their day-to-day life, 61.5 % responded affirmatively, a number that doubled those who were considered continent according to the ICIQ-SF test. Incontinence was associated with an increased sexual dysfunction, having a correlation with low satisfaction in men and diminished libido and lubrication in women. ConclusionsIn the present study, we found a high incontinence rate, which is discrepant with the self-perception of day-to-day dryness. In addition, our data showed that incontinence is linked to a diminished sexual function.

Mental Symptoms, Life Satisfaction and Sexual Orientation: A Gender Analysis.

Research has revealed that homosexual and bisexual people are at higher risk of mental health problems than heterosexual people. However, most studies have focused on differences in disorders and have not examined the intersection of gender and sexual orientation. The main aim of this study is to investigate the relevance of sexual orientation in women's and men's mental symptoms, life satisfaction, and self-esteem. A cross-sectional study was conducted with 309 women and men who were homosexual or bisexual and 309 women and men who were heterosexual, aged between 17 and 54. All participants were assessed by four self-reports measuring mental symptoms, life satisfaction, self-esteem, masculine/instrumental and feminine/expressive traits, and traditional gender role attitudes. Results showed an interaction between sexual orientation and gender, with lesbian or bisexual women scoring higher in severe depression symptoms and lower in life satisfaction than heterosexual women. Homosexual and bisexual people scored higher than heterosexuals in somatic symptoms, social dysfunction, and in self-esteem. Women scored higher than men in somatic, anxiety, and insomnia symptoms and in feminine/expressive traits, whereas men scored higher than women in traditional gender role attitudes. We conclude that sexual orientation and gender are relevant to the mental health and well-being of people.

Men's satisfaction with female/unisex and male incontinence pads: a comparative clinical audit.

Urinary incontinence is a common and impactful condition. Despite the availability of incontinence pads specifically designed for the male form, many men use pads designed to fit the female anatomy. This clinical audit-based study compares female/unisex and male incontinence pads in male community patients with urinary incontinence. A survey was used to collect Likert-scale data on overall satisfaction and satisfaction with specific aspects of female/unisex and male incontinence pads, as well as with their health and wellbeing and situation and attitudes before and after intervention. Qualitative data were collected on positive features of, reasons for dissatisfaction with and suggested changes to each pad. Among 18 participants, and in all but one domain, satisfaction scores were higher for male pads overall, with the greatest increases in score (1-5) for physical coverage of genital area (1.5), ability to hold urine without leaks (1.4) and level of comfort when wet (1.3). Using a male pad had a positive impact on participants' sense of health and wellbeing. Positive qualitative feedback focused on comfort, ease of use and reliability, as well as the anatomical fit of the male pad. Sex-specific fit is an important factor in the acceptability of an incontinence pad for men with urinary incontinence. Wearing pads specifically designed for the male anatomy provides men with a greater sense of comfort and confidence.

Effects of Transcranial Direct Current Stimulation on the Treatment of Premature Ejaculation in Men with Sexual Dysfunction

Background: Premature ejaculation (PE) is a common sexual dysfunction in men, affecting various aspects of life, including mental and emotional health and interpersonal relationships with spouses. Objectives: The present study aimed to investigate the effects of transcranial direct current stimulation (tDCS) on the treatment of PE in men with sexual dysfunction. Methods: This was a quasi-experimental study with a pretest-posttest control design and a two-month follow-up. The statistical population included all men with PE living in Tehran, Iran, in 2021. A total of 30 people within the 25 - 66 age group were selected and placed in the experimental and control groups. The experimental group underwent tDCS for one month (8 sessions), and the control group received no intervention. The research instrument included the international index of erectile function (IIEF). The data were analyzed using descriptive and inferential statistics (ANCOVA) with SPSS. Results: The experimental and control groups had a significant difference in the components of PE, including orgasmic function and overall satisfaction (P &lt; 0.001). The results suggested that tDCS improved orgasmic function and overall satisfaction in men with sexual dysfunction. Furthermore, this method remained effective for two months. Conclusions: The tDCS method was influential in improving PE. Considering the effectiveness of tDCS in treating PE and increasing sexual satisfaction, it is recommended to use this method to treat this disorder.

Gender differences in factors related to eating competence in college students: Weight-and-body shame and guilt, weight satisfaction, weight loss effort, and eating disorder risk

PurposeThis study aimed to determine which weight-and-body-related attitudes and behaviors were most predictive of Eating Competence (EC) in college students amidst COVID-19, according to gender. MethodsThis cross-sectional study was part of a larger study in which an online survey was administered during autumn quarter 2020 to undergraduate students at a northwestern U.S. public university. Measures included EC (ecSI 2.0™), weight-and-body shame and/or guilt (WEBSG), weight satisfaction, current weight loss effort, and eating disorder risk. ResultsOf the 1996 respondents included in the final analyses, 40.2 % were eating competent (ecSI 2.0™ ≥32). Gender distribution was 71.6 % women, 23.1 % men, and 4.6 % trans-and-gender non-conforming (TGNC). WEBSG and WEB-S were higher in women and TGNC than in men. Weight satisfaction was lower in women and TGNC students than men, and 47.3 % of the sample was trying to lose weight at the time of the study. Eating disorder (ED) risk was prevalent with nearly 34 % scoring ≥2 on SCOFF and 33 % reporting they saw themselves as having an ED now or in the past. Significant factors of EC varied for each gender, although WEB-S was a shared model factor for all genders. ConclusionEC may be protective, as this was related to less WEB-S in all genders; less WEB-G and greater weight satisfaction in men and women; and lower likelihood of ED risk and trying to lose weight among women. Further research is needed to elucidate whether these maladaptive weight-and-body attitudes and behaviors in college students can be improved to increase EC. Level of evidenceLevel V, descriptive cross-sectional study.

Career patterns and career satisfaction of women and men in Poland in years 1990-2010

ABSTRACT This study aims to identify the career patterns of Polish women (345) and men (305) and to compare their professional and life satisfaction. Career events serve as a basis for identifying three career dimensions: stability, vertical mobility and continuity. Cluster analysis revealed three female and three male career patterns. The most frequently pursued career for women and men is a conventional pattern. Women` careers is characterized by less continuity, mobility, and stability than men's. The results show that the schema of the traditional social role is more often revealed regardless of gender, while the non-traditional schema of social role is revealed in mobile careers of women. Women pursuing discontinuous careers, and men pursuing unstable careers are significantly less satisfied with career than people with a mobile career. Women are the most satisfied with a career typical of traditional male career, which includes no brake in career, job stability and promotions. Men's satisfaction with life depends on their career while women are satisfied regardless of the career pattern.

Life Satisfaction and Negative Affect Among Trans Men, Trans Women, and Nonbinary Individuals in a U.S. National Sample.

Purpose: Transgender and nonbinary individuals often have limited educational and economic resources, lack social capital such as family and community support, and face discrimination. These factors are likely to have negative consequences for subjective well-being of transgender individuals. Yet, there is limited research using a national sample and comparing trans women, trans men, and nonbinary individuals. This study examined the impact of social support, social belonging, transgender connectedness, and discrimination on trans and nonbinary individuals' life satisfaction and negative affect. Methods: We used data from TransPop 2016-2018, the first survey conducted on a national probability sample of the transgender population in the United States. We focused on measures of life satisfaction and negative affect and their predictors, including social belonging, transgender connectedness, and everyday discrimination. Results: We found that trans men, trans women, and nonbinary individuals had lower life satisfaction and higher negative affect than cisgender heterosexual individuals. Social belonging had a positive effect on trans men and trans women's life satisfaction, whereas it had a negative effect on trans men and nonbinary individuals' negative emotion. While family support had a positive effect on trans men's life satisfaction, social support had mixed effects on nonbinary individuals' life satisfaction and negative affect. Finally, everyday discrimination had a negative influence on life satisfaction although there was variation by gender identity and dependent measure. Conclusion: Different factors predicted life satisfaction and negative affect of trans men, trans women, and nonbinary people. Thus, a one-size-fits-all model of trans and nonbinary subjective well-being does not work.

Effects of supervised exercise and self-managed psychosexual therapy on sexual health in men with prostate cancer: A randomized clinical trial.

71 Background: Sexual dysfunction is a common, distressing, and persistent adverse effect of prostate cancer treatment and current management strategies do not adequately address physical and psychological effects. Exercise is emerging as potential therapy in the management of sexual health. The purpose of this study was to investigate the effects of supervised, clinic-based, resistance and aerobic exercise with and without psychosexual therapy self-management on sexual health in men with prostate cancer. Methods: A 3-arm, parallel group, multi-center randomized clinical trial was undertaken between 2014 and 2018. The study was conducted at university-affiliated exercise clinics. Eligible participants were men with prostate cancer who had previously or were currently undergoing treatment and concerned about sexual dysfunction. One-hundred and twelve participants were randomized to: 1) 6 months of supervised, group-based resistance and aerobic exercise (n=39), 2) the same exercise program plus psychosexual therapy (n=36), or 3) usual care (n=37). Exercise was undertaken 3 days per week at university-affiliated exercise clinics. Psychosexual therapy consisted of a brief self-management intervention that addressed psychological and sexual wellbeing. The primary outcome was sexual health assessed with the International Index of Erectile Function. Secondary outcomes included body composition, physical function, and muscle strength. Analyses were undertaken using an intention-to-treat approach. Results: Erectile function increased by 5.1 points (exceeds MICD) with exercise and 1.0 point with usual care (P interaction=.010) while intercourse satisfaction increased by 2.2 points with exercise and 0.2 points with usual care (P interaction=.026). Self-managed psychosexual therapy did not result in additional improvements. Compared with usual care, exercise prevented an increase in fat mass (P interaction=.028) and improved physical function outcomes, as well as upper and lower body muscle strength. Conclusions: Supervised resistance and aerobic exercise improved erectile function and intercourse satisfaction in men with prostate cancer; however, self-managed psychosexual therapy resulted in no additional improvements. Men with prostate cancer concerned about sexual dysfunction should be encouraged to undertake exercise as a potential countermeasure. Clinical trial information: ACTRN12613001179729 .