Background <p>Cancer survivors report changes in sexuality and intimacy that persist beyond the treatment period. In Germany, these issues remain underaddressed in healthcare.</p> Aim <p>In an exploratory study, we examined these issues from three complementary perspectives.</p> Methods <p>We conducted (1) qualitative expert interviews with healthcare professionals (<i>n</i> = 6), (2) a&#xa0;thematic analysis of publicly available informational brochures (<i>n</i> = 14), and (3) a&#xa0;media analysis of posts from three publicly accessible online forums (<i>n</i> = 15&#xa0;threads comprising 330 posts). All sub-studies were analyzed using thematic analysis with the three levels of Sexual Script Theory as the deductive coding framework – cultural scripts (macro), interpersonal scripts (meso), and intrapsychic scripts (micro).</p> Results <p>The analyses indicate a&#xa0;gap in care across all three SST levels: societal taboos (macro) and structural barriers in healthcare (meso) reinforce individual shame and silence (micro). A pattern of systemic silence became evident: those affected rarely raise the topic, and healthcare professionals do not address it proactively. There is a lack of care structures that support the discussion of these issues. Informational materials frame sexuality predominantly in medical-functional terms. The exchange in online forums highlights this gap in care from the perspective of those affected.</p> Conclusion <p>The findings underline the need for further research and for systematically improved care regarding sexuality and intimacy after cancer.</p>