I was on two years of Casodex in conjunction with a year of Lupron and then a year of Trelstar (new Urologist) and 43 radiation sessions. This is one of the standard courses of treatment for advanced Pca
The Casodex/Lupron/Trelstar/radiation has left me constantly fatigued as others have mentioned.
To address the question at the end of your profile, yes you will still be a man but most probably with a much reduced "manly" function. Each person's experience varies but I would talk to your uro about
starting some form of oral ED meds to help maintain your "manly" functioning in the face of what is essentially chemical castration.
The effects of the shots are not immediate but progressively manifest themselves. In my case the effects of the combination of Lupron and radiation were definitely evident after three months.
Another issue to discuss with the uro is the problem of developing osteoporsis because of the loss of testosterone. I ended up with a fractured vertabra requiring a spinal fusion. There are some things that can be done to be proactive about
Just remember that you are not alone and we are all wishing the best for you.
72 years old, healthy and active, single.
Diagnosed 9/05/07 PSA 18.09
Biopsy 12 cores all positive, Gleason 4+4=8 Stage T2
11/07 Began 24 month HT Lupron Depot and Casodex
1/08 3d Conformal 36 sessions followed by IMRT 7 sessions
(hospitals first IMRT patient)
PSA: all followup tests continue to be undetectable
8/09 Final Lupron shot
8/09 Severe osteoporosis from HT leading to need for spinal fusion
10/09 Levitra, Cialis at highest doses gave 60% erection
11/09 Edex at highest dose gave 75% erection with aching
12/09 Cialis daily 5mg + Trimix gives 75% erection with no aching
1/10 Adding VED hoping to increase blood flow
4/10 VED gives 95% of pre-treatment size; return of nocturnal erections
6/10 New Trimix formulation to see if I can get better response
Post Edited (Navyman) : 7/9/2010 10:10:58 PM (GMT-6)