Purpose: Studies on sexual health following male child sexual abuse (CSA) have identified the negative effects of such experienceson body functioning, but little is known about male CSA survivors’ ability to create emotional and physical closenessin romantic relationships. The purpose of this article is to explore how male CSA survivors perceive, experience and developintimacy in romantic relationships, including both the challenges they face and the positive changes that enable them to growand achieve healthy relationships.

Method: The study has employed a qualitative research approach and is based on in-depth interviews conducted among adultmale CSA survivors residing in Sweden. Participants were recruited through civil society organizations and an ad in a dailynewspaper. Using reflexive thematic analysis, the results are presented in relation to two themes: (a) challenges of intimacy;and (b) building trust and close relationships.

Results: The results show that participants desired couple relationships that included both sexual and emotional intimacy.The challenges of intimacy were related to compromised sexual identity, sexual dysfunctions and compulsions, emotionaldysregulation, and body shame. Efforts to achieve intimacy were facilitated by disclosing abuse experiences, developingemotional bonds or awareness, embracing sensitivity, and having an empathetic and supportive partner.

Conclusions: Reconstructions of abuse histories were both challenged and facilitated by the accessibility of various and shiftingideas about masculinities that co-exist in Sweden, which were important sources for meaning making and assisted themen in developing positive valuations of themselves as men.