Is the biggest issue emotional distance or sexual dysfunction?

A new cancer diagnosis — especially one of advanced-stage cancer — is a huge emotional trauma. Ideally, we reach out to our loved ones for support and grow even closer to them, but some men have been raised to believe they need to be "strong" and deal with everything themselves. That can lead to self-isolating behaviour that hurts and baffles the people who love them most. If that's what's happening with your husband, he may need therapy, but you obviously can't force him to get that. You could also reach out for support yourself and get professional advice on how you can cope. It might be that things will improve after he's had a few months to process the diagnosis.

If the issue is sexual dysfunction, it takes time for the dust to settle, so to speak, but there are ways to continue having sexual relations even on active prostate cancer treatments. It involves a little more care and preparation, so spontaneity won't be the same, but you'll find lots of comments about different approaches and experiences here in the forum.

Best of luck, and do make sure you get support for yourself as well. ❤️

You might also get answers from others sharing your experiences if you go to this forum, which I just mentioned in another thread:
https://connect.mayoclinic.org/group/caregivers/