Table 2 Themes and sub-themes

Lack of desire for sex

Reduced libido

Changes in emotional attraction to partner

Failure of genital Response

Erectile dysfunction (ED)

Relational constraints

Separation

Marital conflict

Tradeoff between sexual health and extension in life

Tolerating ADRs for increased life span

Foregoing child bearing

Diminished gender identities

Diminished masculinity

Diminished femininity