I was on Lupron/Eligard for one year and found it much more tolerable than the horror stories led me to expect. Hot flashes suck, and I gained some weight (not dramatically), but overall it didn’t seriously impact my QOL. True, some guys find it unbearable, but there’s no reason to go into it expecting the worst. And remember: guys are more likely to post when they’re having a rough time. You’re less likely to hear reports from those who are sailing along without severe SEs.
Now as to your question about
metastasis: What happens is the prostate cancer cells travel through the bloodstream or lymphatic system, set up shop in your bones or your lungs or your liver or even your brain and start sawing away at them. That can really cramp your lifestyle and pinch your longevity, even with the wondrous treatment advances of recent years. You kinda don’t want that happening, or at least want to prevent it as long as possible.
I second mattam’s advice to consult a first-class medical oncologist who treats a lot of PCa patients, and bring your concerns and fears to his or her attention.
Age 60 at dx 7/2017 biopsy G8 (4+4), 5/13 cores
RARP 8/2017 (Patel), pT3a N0 M0, 30% tumor; EPE+, SV-
PSA 1/2016, 2.9; 4/2017, 7.2; 9/2017 (post-RARP), 0.13; 10/2017, <0.05, 1/9/2018, 0.09, 2/23/2018, 0.08.
SRT 72Gy, 40 fractions, finished 5/8/2018, plus 12 months ADT, finished 2/2019, PSA <0.02, T=4
Caution: I’m not an MD and don’t know what I’m talking about
Post Edited (Saipan Paradise) : 9/11/2019 4:16:33 AM (GMT-6)