Thanks for your post. I was 51 when diagnosed as well (Gleason 4+3=7). I am now 58. The diagnosis caught me completely off guard. I have had two reoccurrences since and been treated with radiation and ADT twice. I am at Mayo now getting a scan done to monitor my progress as I come off 18 months of ADT.

Believe it or not, I am now happier than I was pre-diagnosis. I appreciate life much more. I have found diet, exercise, greater mindfulness, and lower stress to help a lot to minimize my symptoms (i.e., fatigue, mood, no hot flashes, etc.). Hopefully, your journey will be easier with just one treatment if needed.

One thing I would have done differently is gone to Mayo or some other leading care facility right away rather than use my local urologist. The level of research and expertise is dramatic. Secondly, I went one Christmas without telling my family of a reoccurrence. In hindsight, I think it would have been better for all if I had told them sooner. I suggest leaning on support and not withholding the information. You may be surprised with how people react and how much better you feel sharing.

I wish you the very best of luck! Hang in there.