Mastering Emasculation (journal article)

Early last month I had my first appointment with my new MO since my previous MO retired. My first meeting with him came shortly after my most recent PSA. We both agreed it was time to pull the ADT trigger. I was impressed with him because he listened to me and he seems very willing to keep me in the decision process. He asked about my sex life and I told him that surgery and Peyronies had already wrecked that, and my concerns were primarily with the other side-effects from being on ADT. He noted that I seemed more knowledgeable about PCa than most of his patients and he asked if I would like a reference to a journal article. At the end of the meeting he left and came back with information for a J of Oncology article scribbled on post-it. He wouldn’t tell me what it was about and he smiled and just said to look it up. Lol I was quite surprised because I was thinking it might be about Xtandi.

The article is loosely about an MD who had failed RP/RT followed by Lupron and his evolving views on being “emasculated.” The take away for me is that doctors and institutions such as the ACS should stop pretending that not having testosterone isn’t a big deal - because it actually is a big deal. But men are capable of embracing the positive aspects of ADT and can still participate sexually in some ways. Some of the sexual stuff is probably beyond my scope but I think the article a useful read.

Halbert’s topic, Post-treatment Sexuality, inspired me to post the article but I felt it would better to post it as a separate topic.

https://ascopubs.org/doi/full/10.1200/jco.2008.20.1947

Now that is a very interesting article!

Interesting. A good informative read.

Thanks,

Very enlightening (?) read. It’s something I’ve not so neatly dealt with. Denial isn’t just a river.

Change isn’t come easy. Acceptance. It’s different when dating. (Or, at least my style of such). Flirting is paramount. (You want to feel good. And you accomplish such by making her feel good). Humorous, innocent innuendo.

But, when I can’t back that up. Yeah. It’s, at least in my head, fwiw, a liability. All talk. No walk. All bark. No bite. Hmaybe I can say that ...well...literally?). lol.

It’s difficult when one can’t relate. It gives one no where to go with this. You wanna know where single guys go with this? ....Home. There’s a lot of men that this has gotten the better of than is acknowledged. I say that for 2 reasons. 1). I’m not that unique. (No one is that unique). 2). Annodotal evidence. (I know of at least one other man who this has driven underground. (Yet, that’s no topic for civilized people to talk about. “It’s a downer man! We don’t need no Debbie-downers!”

When I get down (it’s not really “down” per se’...it’s more of “I’m alone in my identity.”)...I read this....

https://www.healingwell.com/community/default.aspx?f=35&m=3657112

...and it let’s me know, I’m not alone. Others struggle too.

That is a really good article for me to read mattam. I’m so glad that you posted that. I’ve been through change before. Lol. But, now, this one is a whole new ball of wax. lol

Maybe it’s not “The End”. Dr. A made it a new beginning. lol. And that is just such a cool thing. Never thought of it like that before. (On previous changes, yeah. But, I had people showing me the way. Not quite so visible on this one here. lol.

But, he did it.

Post Edited (island time) : 4/8/2019 8:49:24 PM (GMT-6)