FoxRun said...
I'm still not experiencing the full hardness during erections and I was wondering if others, who had similar treatments, were experiencing the same?
My recovery of testosterone has been pretty good, almost back to baseline. My sexual function is probably only about
60-70% of baseline, and may get no better than that. Lost almost 2" of length (largely due to 3 years on ADT, had zero interest in doing anything to prevent that); firmness is erratic but marginally useful. Radiation, despite careful shaping of the treatment fields, causes injury to nerves and arteries involved with erection. That tends to worsen over time too, just the nature of radiation therapy. Surgery side effects start bad and improve, radiation side effects start well, and deteriorate.
What capability you have after this much time, in my humble opinion, is unlikely to get better than it is now. It's just one of the trade offs we make when we treat this wretched disease. Whether or not the side effects are worse than the disease may be arguable. For high risk cases like yours, we're pretty much going for survival and have to accept whatever side effects we get as unfortunate but necessary.
There are treatments for ED if you want to pursue them. Lots of the guys here seem to be rather expert in that area.
The good news is your PSA seems to be behaving very well indeed! We should all be so fortunate.