This study qualitatively explored dynamics that impede or promote disclosure of child sexual abuse. Findings on the impact of gender on disclosure are reported based on data from 30 in-depth interviews of adult survivors. Mile there were strong similarities, noteworthy differences connected to gender and disclosure emerged. The overall trend was toward delaying disclosure, and for those who tried to disclose in childhood, attempts were often made in behavioral or indirect verbal ways. However, males reported difficulty disclosing because they feared being viewed as homosexual and as victims. Women's difficulties centered on feeling conflicted about responsibility, and they more strongly anticipated being blamed or not believed. Findings are linked to therapeutic work with traumatic loss.