Looking at your bio they found quite a lot of cancer and some of it was grade 5. Putting your details into this tool:
https://prostate.predict.nhs.uk/tool
Suggests you had a 60% chance of reaching 75 and now you have a 70% chance. If cancer had not been found it would have been 85%.
Clearly not having cancer was the best option but that is not on the table. Leaving it a few more years before treatment would be called active surveillance; with your biopsy results that is unrealistic. Even treating you now, is only giving you a 10% extra chance of living to 75 in another couple of years the disease may have progressed far enough that treatment would increase chances only 5%.
So doing nothing would probably have resulted in you getting to 70 with no side effects, followed by 5 years of managing terminal cancer, and those 5 years would be a lot worse than what you are going through now.
You still have a high chance of having to manage that terminal disease but you will probably be nearer 80 when you get there, and plenty of other things might kill you first.
Now in hindsight it may have been better not to have had that blood test. If your philosophy of life is, live fast: die young, then having medical tests is a bit foolish.
NICE guidelines say a PSA test should be decided in consultation with a GP. That consultation should establish if there is any point in you knowing you have cancer.
|
User
Dave's answered your thought about doing nothing but a couple of points about nocturia ...
Hormone therapy has the obvious result of knocking out testosterone and libido but it clearly does other things like messing with your sleep and your head.
I'd suggest you do the kegel exercises to strengthen relevant muscles but regardless, it's reasonably likely that you'll find you have to get up one or more times during the night as a result of the treatment you're going through. I found waking up and needing to urinate had an annoying tendency to form a vicious circle. I'd wake up and the thought that I might need to go, or that it might help me get back to sleep if I did, meant that I went to the toilet when I really didn't need to, at night.
It being 4.5 months since my last Zoladex shot I'm struck by the mental changes that are happening as the last dregs of the stuff leave my system and before testosterone comes back [it it does]. Try not to be too swayed by the lunacy of an ADT addled brain. When all of this is over you will come back to a much more normal state than you might think possible right now.
Jules