gay men and prostate cancer - invisible diversity - article

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tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 3/12/2010 6:14 AM (GMT -6)   
I stumbled on this article yesterday - very much to the point of how my family doctor's approach is -
It is an very interesting read - nothing naughty or to upset the conservatives here - and beneficial to the gay and bisexual men (and their partners) who are lurking at this site.
Reminder - you are not alone in this struggle against prostate cancer.

jco.ascopubs.org/cgi/content/full/23/12/2593

I think I got the url link to work this time !

smilewinkgrin

hoorah for little steps !

hugs
BRONSON
.................
Age: 54 - gay - with spouse, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: 3-5 pads/1-2 clothes changes/day- finally seeing improvement - March 3, 2010 - week 14 after surgery -
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 3/12/2010 6:48 AM (GMT -6)   
Good morning Bronson.
Congrats! The link worked.
If 2-3% of men are gay, theoretically you would expect 2-3% of all PCa patients to be gay. (The article says 5000)
I wonder if the incidence of PCa is exactly the same for the populations of gay and straight men. Are treatment options modified or are modifications necessary?
Very interesting. I will do a little studying.
Thanks,
Jeff


I found an article relating T levels to other factors:.
Testosterone levels in healthy men and the relation to behavioural and physical characteristics: facts and constructs M Zitzmann and E Nieschlag
Institute of Reproductive Medicine of the University, D-48129 Mu├łnster, Germany
www.eje-online.org/cgi/reprint/144/3/183 (Hit the "Begin manual download" button)

It appears that gay and straight men have the same levels. However, on page 8 in the paper it shows other factors that are affected. Lower Voice pitch, beard growth, balding, are associated with testosterone. If PCa needs T to survive, is there a difference in the incidence of PCa between, bald, heavy beard growth, bass singers and Tenors with light beards and flowing locks.
I see an NIH study in the formation.

Post Edited (Worried Guy) : 3/12/2010 6:11:29 AM (GMT-7)


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 3/12/2010 8:29 AM (GMT -6)   
Another aspect of the article deals with the aggressive / passive role of the man ( baseball analogy - pitcher/catcher) - the aggressive individual would want mr. happy to be happy at the drop of a hat (as before) while the passive individual is not as concerned with that.

And since a number of gay men are not in monogamous relationships, they would find the effects of prostate cancer treatment to be a detriment to finding a mate or engaging in sexual activity - alone or with a partner. Which might preclude them from seeking treatment.

The more we are different - the more we are the same.

hugs
BRONSON

P.S. is it mandatory for tenors to have flowing locks? - in operas, they always die in the third act anyhow -
P.P.S. I sing baritone
.................
Age: 54 - gay - with spouse, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: 3-5 pads/1-2 clothes changes/day- finally seeing improvement - March 3, 2010 - week 14 after surgery -
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 3/12/2010 12:16 PM (GMT -6)   
Bronson,

I get it. They might be more willing to try non surgical methods to reduce the chance of ED. Interesting. I'll bet somewhere there are statistics on that.
I am married going on 35 years so I was not as concerned about the side effects. The cancer was my priority. If i was still on the market I might have chosen something else. Maybe. My PSA was 23 and rising so maybe not.

I mentioned the "Tenor with flowing locks" since that was the opposite of a "bald, bass singer" - as far as testosterone is concerned.
You gave me food for thought today.
Thanks
Jeff

livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 3/13/2010 11:31 AM (GMT -6)   
Thanks for sharing this Bronson I always enjoy hearing from you. Hope you guys are doing well and thanks for the occasional email.

peace to you
dale
My PSA at diagnosis was 16.3
age 47 (current)

http://www.caringbridge.org/visit/dalechildress

My gleason score from prostate was 4+5=9 and from the lymph nodes (3 positive) was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11

PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .016
PSA Mar 30th, 2009 is .02
PSA July 28th 2009 is .01
PSA OCt 15th 2009 is .11
PSA Jan 15th 2010 is .13

Testosterone keeps rising, the current number is 156, up from 57 in May

T level dropped to 37 Mar 30th, 2009
cancer in 4 of 6 cores
92%
80%
37%
28%

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