While my ED has continued to slowly but steadily improve, I've had issues with decreased libido, low energy, foggy brain, strength/muscle wasting, etc.----Right after my surgery (1/26/09) I had the libido I had pre-surgery. Then about 3 months out, it dropped off the horizon. Although my first T Level at 3 months was 263, fairly low, it has risen lately to around 400. But the libido has not..........both my surgeon and treating urologist stated that they would not consider replacement therapy until I posted 0 PSA's for the first year. Even at that point, they would be reluctant but not adamant. On the other hand, as my urologist pointed out, it's not as if we're totally devoid of testosterone, and if there's a cell left behind, it's going to find it whether low levels or high levels. (A mouse doesn't need a block of cheese to find a morsel somewhere)........so, yes, it comes down to weighing risk/reward. And, different MD's have differing opinions. I'm taking their advice and waiting to have the discussion after a year of 0's and not doctor shop.
Arnie in DE
Age 56 (biopsy & surgery)
PSA at Diagnosis-3.9
Biposy 8/19/08--4 of 12 cores positive; 5% involvement, Gleason 6 (3+3)
Surgery 1/26/09-DaVinci Robotic Prostatectomy at Presbyterian Medical Center/HUP-Phila, PA
Dr. David Lee
Pathology Report- Adenocarcinoma, no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, Gleason 7 (3+4), Stage T2C, Prostate 61.8 grams, gland involvement 2-10%
Catheter removed after 8 days, totally dry at 3 months. ED issues continue, Viagra (via ADC) nightly (100mgs), VED use in earnest at 6 months. "Ball Park Frank" plumping at this point.
3 month PSA--<0.1
6 month PSA--<0.1