My husband still struggles with this, his was much worse stage 4 all over his body, PSA almost 300 back in February, he didn't want to do ADT but doctors (and me) convinced him, it was his manhood! He'd rather die, he said. But I pleaded that he's doing it for me, for the kids! I'd cut off my left arm to have him with me 10 more years! (and we're sort of anti medical stuff and have been for years and years so it's a lot to give up and trust the medical establishment)
He finally relented and goes to the gym every day, eats right but he's very tired and gets hot flashes and night sweats, like me- a late 40s perimenopausal woman! He did chemo over the summer too and if you look at him, you'd never know he had cancer, let alone terminal cancer "they" said 30% make it 3-5 years!
at the end of the chemo before his second pet scan, this pharmacist lady came into the room and said, if he hadn't done ADT and everything, he'd be dead by now!
I think the sweats and mood swings are actually "not a big deal" it's all mentally!
Just knowing he's medically castrated is a terrible thing for a man! Meanwhile I got my tubes tied and got over that quickly after having our last child, if I got breast cancer and had to cut off my breasts, I'd do it! It would be sad but I'd do it for the family!
Women's bodies change, they grow babies inside of them, then go thru monthly pains and mood swings and eventually can't have children anymore, the guys are worried about their manhood! It seems "silly" to me, I get it, but I don't get it.