Ok, let's say a guy has been down the surgery/radiation road, in any of its forms, and still has active cancer growth. The oncologist is suggesting hormone therapy or surgical castration for a 66 years old fellow. This guy is completely impotent from the surgery, nerves spared but even after 7 years there's still absolutely no response to anything but penile injections, which get the job done when needed. He says he doesn't miss sex that much and his libido is really down. If left to his own devices, he'd musterbate once in a while to relief the pressure. His wife considers the situation a blessing in disguise, as she has no interest in lovemaking.
He's concerned about
the physical and mental side effects of HRT and wonders if surgical castration wouldn't be preferrable, considering his sex life and situation as it is now. Just what differences would be experienced, both physically or mentally (turning weepy, etc, watching HGTV, you know what I mean) if he chose castration rather than HRT. Is there anything about
HRT, rather than the obvious regaining erection ability possibly in the future for someone who is able to do that, to indicate he should choose HRT instead? . Any other things that the procedure would do, plus or minus, that would allow him to avoid the horrors (to him) of HRT?
If it were you, what would you choose?
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing
open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh
ED continues: Bimix .30cc & Trimix .15cc PRN
Post Edited (James C.) : 11/4/2010 1:44:20 PM (GMT-6)