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Profile picture for gkgdawg @gkgdawg

Your story gives me hope for my husband. Unfortunately, he did not have SBRT. (which I believe is 5 powerful treatments, instead of 25 lesser strength treatments). He has had 2 months of ADT and 2.5 months since the hormone therapy injection. His testosterone is less than .2. No libido. PSA as of June 26 1.9. We have been hoping to get in to see a sexual health doctor. We were referred a couple of weeks ago but have not heard from him. He started on Cialis a week or two ago, in the hope that that would help to avoid atrophy. He hasn't said it out loud but I really feel that he has given up on the chance of getting his testosterone back or having any sexual responses.

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Replies to "Your story gives me hope for my husband. Unfortunately, he did not have SBRT. (which I..."

25 sessions of radiation is no less effective than 5 ‘powerful’ doses of SBRT. In fact, in your husband’s case with demonstrable EPE and seminal vesicle invasion, it is the preferred treatment.
IMRT can radiate a much larger marginal area without causing acute toxicities, and thereby hit more rogue cells which may have already escaped the prostate. If you tried this with SBRT, the results could be very severe indeed. Best,
Phil