Sexual health and intimacy are consistently reported among the top unmet supportive care needs of prostate cancer (PC) survivors.1 With an aging population and advances in PC detection and treatment, the need for better PC sexual health interventions is acute. While multiple studies have assessed the effectiveness of psychosocial interventions to address the sexual health needs of PC survivors and their partners, the results of this body of research remain mixed. We believe that the inconsistent outcomes for psychosocial interventions can be attributed—at least in part—to a focus on regaining some form of erectile functioning so that couples can return to their pre-PC sexual scripts. Unfortunately, in many cases, a return to pre-treatment sexual function is not possible after PC treatments.2 Thus, even the most well-meaning of clinicians has the potential to contribute to a couple’s sense of hopelessness and failure around the inability to return to the sex life they once had.3