David: First of all it hasn't been determined that you are going to need HT but if you do here's my thoughts.
I guess what I can't get beyond with your thinking is that if any of these terrible side effects set in you can quit at anytime you want, I've been on lupron for one year and don't think that I've turned into a 12 year old girl or Ted Bundy yet. The medicine does effect everybody in a different fashion but if you have issues that you can't put up with, just quit. There of course would be a period of time that it would take to get the medicine out of your system but at least you would know that you gave it a shot and it wasn't for you.
Once again I guess I have been one of the lucky ones because the side effects have been minimal for me.
Good luck with everything.
The other David
Biopsy- 12 cores, 4 positive highest 4+4=8
Bone scan, CT scan and Chest X-ray clear 4/16/08
Urologist suggested surgery 4/16/08
MRI on 4/24/08 clear no suggestion of lymph node involvement.
4/24/08 -Started on Lupron and Casodex preparing for HDRT and IMRT in late July. This treatment will not preclude me from surgery if I change my mind.
Decide to have DaVinci surgery after another consult with surgeon.
6/19/08- DaVinci surgery at University of Washington.
6/25/08- Path report, clear margins, no noted extension
9/12/08- PSA <0.02
12/05/08-PSA <0.02 Six months after surgery
3/02/09-PSA <0.02 Nine months after surgery
8/17/09-PSA .21 Begin HT and set up for SRT to begin in 2 months.
12/31/09- SRT completed, still on HT and will be for 2 years, PSA is <0.01
7/30/10- PSA still <0.01, on HT 1 year with 1 to go.