@johnw22

Glad to hear you are weathering the storm and, though the side effects are present, it sounds as if you are doing well for the most part.

While on Active Surveillance it was easy to deny that PCa would ever be a threat. Now, the reality is rapidly sinking in and weighing me down.

I have received 3 of planned 5 SBRT treatments and am 2 weeks out from my first Lupron injection. I am easily fatigued, experiencing moderate bladder irritability (now have tamsulosin added to my regimen) and have intermittent mild transient nausea. I had diarrhea for the first time this AM. It remains to be seen if that continues. (I did receive a hydrogel rectal spacer before the start of SBRT to reduce the risks of radiation colitis.)

I worry mostly about the loss of libido and ED, especially since my spouse is quite a bit younger than myself.

Still, I try to remind myself how lucky we are that good treatments for PCa exist, but I admit it takes a concerted effort not to think more negatively.

I know we proceed and process one day at a time.

Hopefully things will continue to go well for you.