The journey begins. Strap in

Sorry to hear that your husband has joined the "club".

It  is worth reading as much as you can about the various treatments so that you are fully informed. Your husbands cancer staging is quite low  so, notwithstanding his age, AS should not I consider be ruled out. I was on AS for 3 months and only decided to undergo treatment (  Prostate removed) when my PSA score had again increased. By the way, what is your husbands PSA score?

Ivan

It is going to be a difficult decision to make as both the PSA score and Gleason grading are quite low and suggests that the cancer is in the very early stages of development. Research suggests that 1 in 5 men ( US research suggests it is 2 in 5 men) age 40 have evidence of prostate cancer, that most men over 60 have it and virtually all men over 80 have it. Most prostate cancer is slow growing ( a single cell can take over 400 days to form suggesting that a 1 cm lesion could be 40 years old) and most men diagnosed with it and getting treatment at the appropriate time usually die of something else.

All the treatments for prostate cancer have side effects and the balancing act is deciding when to undergo treatment. If I was your husband, though I realise that once you have been told you have cancer you want to do something about it, basing the decision on his PSA score , grading and the fact that the cancer is still contained within the prostate I would opt for 3 or 6 monthly PSA testing and only undergo treatment if the PSA score was increasing  at each test.

For the record, this is a personal view and others on here may disagree

Ivan

For information, your profile page shows the age 34 which people might think is your husbands age. You have said in your opening comment that your husband is 46 and responders to your subsequent comments might shape their answer thinking your husband is only 34 (which though not unknown is quite young to be diagnosed with prostate cancer).

The fact that your husband's father had/has prostate cancer is another risk factor to take into account.

And, yes, it is much easier to get an NHS PSA test when you are 50 

Ivan

Yes, 46 is still young and your husband having a proactive doctor is indeed good news.

If I was you, I would use your husbands specifics in the profile

Ivan