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Prostate Cancer and Your Mental Health — Part II

Read Part I of Prostate Cancer and Your Mental Health.

One of the downsides of modern life is that fountain of all knowledge, the Internet. Great in some ways but it also has a dark side in that not all information is accurate and reliable. Added to the complexities, we all have very individual cases and need to have our treatments aligned with our health cases. With all the information out there, it can be challenging to decide how we want to proceed. All these things add to the stress of diagnosis and can for many people affect our mental health.

The last impact of treatment decisions

Once you got over the shock of the diagnosis the next hurdle is finding your treatment options. Depending on your chosen route, the complexities of your case will closely link to how you may react. After that is hopefully recovery and dealing with any knock-on effects of treatment which for several common treatments may affect your bladder control, cause erectile dysfunction, and other things which can really hit us as men. Treatment often concentrates on treating the cancer but is not always good afterward when dealing with the after effects. Whilst this may not be due to a lack of options many men are often too embarrassed to talk about it or seek help. This can have knock on effects to relationships as we get more stressed about the situation and things could start to spiral out of control. This can have a detrimental effect on the relationship both physically and mentally if you can’t talk about it.

Learning to talk about the challenges

We really need to start learning to talk about these things and asking for help when we need it. It’s not a sign of weakness and can in many cases resolve many situations and also find solutions to the problems. Not everyone will suffer in this way and a positive attitude will always help. I managed to keep a positive outlook, talked things through with partners, doctors and specialists, and found coping strategies to get through these issues.

For me personally, I had some dark nights in the beginning but once I had received treatment, I kept an open view and made the conscious decision not to let anything get me down. For the record, I had non-nerve sparing robotic surgery coming up to 4 years ago.

Where my path has lead me

I still have some leakage but I have coping measures for that so it’s not a problem. On the ED side, I have gone through the options available to me of pump and ring which serve a purpose but was not particularly practical for the purpose we all desire. Cavajet injections were again not great requiring 30 mg to be functional but would last up to 3 1/2 hours and felt like it was going to explode! I believe in the US you can have your chemist mix the injection which omits the ingredient that causes much of the discomfort. One of the biggest impacts I found with injections was I needed to plan ahead, the spontaneity had been lost on my part. If I got it wrong I would be left with a painful erection for the next 3 1/2 hours which could lead into the small hours.

After going back to the specialist he recommended I cut back on the injection dose and use the pump and ring as well! Well, that just wasn’t going to help so I struggled on. Then about 6 months or so ago I had a discussion with my doctor and asked if I could try viagra. My thought was if it can help in any way with increasing the blood flow it may help me reduce my injection dose.

To my great surprise, it worked, but it worked all on its own without any injection. It shouldn’t after non-sparing surgery but it does and I am not going to complain.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • kenneth1955
    3 months ago

    Just read this article which was very good and I just have to say something. This is my opinion>

    Yes all men are different and we deal with problems in different ways. We have different concerns. We deal with stress in way to live our life.

    When the doctor tell you that you have prostate cancer the first thing that they want to do is remove it. With that there is to many side effects.

    Lost bladder control, ED and other side effects. Why should we have to deal with that. When a women gets depress after being told she has breast cancer she is told not to worry you will be fine and we can give you a new set.

    When a men get prostate cancer he is told will we have to take it out and don’t worry find a new hobby. This is not right. Over these many years they should have come up with a better way.

    Doctor are only concerned with getting the cancer out. They may listen to your concerns but the only thing they are looking to do it take out the prostate and get rid of the cancer.

    Most of them will not even tell you that most prostate cancers are slow growing and you may have 5 to 10 years before you would have a problem. And also you read on the internet that most men died of something else before prostate cancer

    Some men are scare to talk about sex to a doctor and feel they do not have the right. That is not me. I’m going to take control of my life and it is my life and it is my choice what I have.

    I do also have a positive attitude I’m positive that I will not give in to cancer. I will not pick between cancer and my sex life and I will never have any procedure that will take my erection away or my ejaculation No Way…

    This is my life and my decision>>>>>>>>>


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