Hans, you are so spot on, on every one of your points, as are the replies you have received, along with some much-needed and welcome humor. It really bothers me that people can be so cavalier about prostate cancer, and that it has been so minimalized by our society. We in this forum all know that younger men do get it, it can be aggressive and fast-moving, it can metastasize and be as horrific as any cancer, it robs you of so much, and it’s not just an old man’s disease that many die with, not even knowing they have it! So much for an enlightened society. Regarding intimacy, there is a seriously major component missing in the consultations as to the course of action to be taken, treatment, and short and long term aftermath, and that is required couples counseling (if you are fortunate enough to have someone go through this with you). It is uncharted waters for both, a monumental change in the relationship, and far too important to leave it to the couple to work out (or not) on their own. Some people are understandably much too uncomfortable to get into the subject on such a deeply personal basis, but that is where the mental and emotional health care professionals really need to step up, interject themselves, and insist on being involved.