I did two years of androgen deprivation therapy (chemical castration) and during that time I had the same symptoms as you describe -- no interest in sex and not much interest in anything else for that matter. So, to your question: How did I handle the total loss of my sexuality?
Not very well.
There are some coping mechanisms we can talk about
but first I'd love to know more about
your doctor and why he (she?) is so down on testosterone. There may be good reasons but if there are you haven't told us about
Type 2 diabetes, as far as I know, is not a reason to avoid testosterone. Quite the contrary. Here is a link to a page from the American Diabetes Assn that talks about
the benefits of testosterone supplementation: Testosterone Replacement in Hypogonadal Men With Type 2 Diabetes and/or Metabolic Syndrome (the TIMES2 Study)
What would be a reason to suppress testosterone is if your prostate cancer has metastasized or your doctor is worried that it might. But you told us that it was caught early and hadn't spread. So I dunno.
Maybe you could get some more information from your urologist next time you meet. It would help to know your Gleason Score. It is a number written as the sum of two other numbers. Mine was Gleason 9(4+5) but Gleason 6(3+3) or Gleason 7(3+4) are more common. You might also ask about
whether the post-operative pathology report showed positive margins. If you could get a paper copy of your pathology report that would be perfect. We can help you read the complicated bits. Also, how long ago was your prostatectomy? Have you had your PSA checked since the operation? Do you know what it was?
Like I said, there are coping mechanisms -- exercise is good and forcing yourself to stay active -- but before you get too far down that road you really ought to know why you are there in the first place. You haven't told us anything that justifies permanent testosterone deprivation. There was a time -- years ago -- when most doctors thought that men who had had prostate cancer were better off without testosterone. But now most doctors have either changed their minds or aren't so sure about
If you told us where you live -- nearest big city is enough information -- we might be able to suggest a different urologist you can talk to.
63 Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012: 1&2 neg, 3 pos 1/14 6(3+3) 3-4% (2nd
opn. 7(3+4)), 4 neg
DaVinci 6/14/12. "some" nerve sparing on left
Path: pT3a pN0 R1 GS9(4+5)
Pos margins on rt
24 mo ADT3 7/12 - 7/14
Adj IMRT 66.6 Gy 10/17/12-12/13/12
8/2012-3/2015: Incont., Trimix, VED, PSA<0.015.
AUS & IPP installed 3/5/2015Forum Moderator - Not a medical professional