Hi CAS, DW etc,
When my elder brother was diagnosed with PCa I read up about it and decided if it was me I would not get treatment. No way was I going to end up a sexual cripple. My sex life with my wife of 30+ yrs was about the most important part of who I was.
When I was diagnosed with PCa 6 yrs later at 58 I was desperate to avoid side effects. I delayed treatment by 18 months trying alternative therapies etc. Eventually as PSA continued to rise I opted for surgery. Then needed follow up RT and HT. After surgery I was only able to get an erection using penile injections. These were no big deal to administer and worked fine for a while but then the erections became quite painful so we stopped using the injections. About that time the I started RT/HT as PSA was still above 0.1. As I progressed through this phase it was quite discouraging as I lost what function I had recovered then my libido as well.
I then went through a stage of self pity, grieving for what I had lost or was also losing. Disconnected sexually from my wife due to low libido and told her she was wasting her time trying to pleasure me or I her. I still regret that I didnt toughen up a bit and make that sure I pleasured her at least but HT and low libido is a hard thing to understand at first experience.
I finished HT and eventually went through 2nd puberty as testosterone returned. We recovered a sex life. I stopped focusing on solely erection based pleasure and found I was actually having better experiences and orgasms than before. Then we were able to just enjoy each other again.
I'm rambling a bit here but I guess I am just trying to give one males perspective and make the point that it isnt necessarily going to be easy, both partners are going to have to process things alone at times and work out a way through. The other side though can be a better place.
As I face recurrence again and further HT one thing I have said to my wife is this time stand up for your sexual needs and dont take no for an answer easily. No libido is not an excuse for not at least trying to pleasure your wife.
Will it work. Well see.
Cheers John