

I was diagnosed with stage 2 prostate cancer in May 2021.
Given my comorbidities of diabetes and hypertension, my doctors advised against surgery as an initial treatment. Consequently, a treatment plan incorporating hormone therapy and external beam radiation therapy was recommended., which I opted for. Currently, I am on androgen deprivation therapy to mitigate recurrence risk.

I had pain in my lower abdomen and was urinating more frequently than usual. Initially, I thought these were just side effects of my pre-existing type 2 diabetes, but the pain got worse and I had to see a doctor.
They referred me to the hospital, where I was found to have high PSA levels.
They did a prostate biopsy and MRI, and that’s when I got diagnosed with stage 2 prostate cancer. I was informed of my 5-year survival rate; I can’t remember the exact number, but the doctor said it was a high percentage.
The news definitely took me by surprise and left me reeling with confusion. I also felt sad and powerless amidst it all.


I made some lifestyle adjustments after learning about my diagnosis. In particular, I focused on improving my nutrition by eating a healthier diet most days of the week, and cutting back on smoking.

Because I had diabetes and hypertension, the doctors did not want to operate so easily. The option of surgery was kept aside in case other treatment options didn’t work out, so we had to go with my doctor’s recommendations of
- Hormone therapy
- External beam radiation therapy
Right now, apart from pain medication, I’m on androgen deprivation therapy to reduce the risk of recurrence. I’m also taking
- Insulin and metformin for my diabetes
- Calcium and vitamin D to support my bone health
- Medication to lower my cholesterol

Over the course of treatment, I did experience some common side effects like fatigue and weight fluctuations. Apart from those, I got hot flashes from the hormone therapy and a reduced libido as well.
Cancer treatment impacted me emotionally too, as I had trouble controlling my emotions. There were moments I’d break down and other moments where I’d go into a rage. I couldn’t think clearly at times and couldn’t concentrate.
I had to remain in an air conditioned room to manage the hot flashes. Drinking a lot of water helped too. I’m still seeing doctors about my libido issue, but they refused to prescribe any medication due to my hypertension.

Since starting treatment, I cut back on smoking and cut out alcohol completely from my lifestyle. I started playing games more too. I bought a Nintendo Switch and began playing games such as Mario and Animal Crossing. I liked playing games with my wife. It helped us stay connected during the difficult periods of treatment. I plan to try board games next.
Apart from those lifestyle changes, I intend to reconnect with my sisters. We had previously lost contact and I hope to start talking to them more frequently.

I don’t have anything like that; big dreams or aspirations. I just wanted to get through the treatment. Cancer actually encouraged me to retire early. I had planned to continue working for another 10 years or so. This changed my perspective in life and made me want to slow down.
I also hope to spend more time with my wife and my siblings. My sisters don't live nearby, so I intend to visit them more often.

It’s just my wife and I, and I had always thought I’d outlive her. But now I’m worried that I’d pass away before her. I don’t want to leave her alone in this world because she doesn’t do well being alone.

Almost 3 years have gone by since I was first diagnosed with prostate cancer. Reflecting on my emotions today, I feel rather neutral.

Hope for the best and plan for the worst. Sometimes it just happens, we can only face it head-on.
This patient's story is published and shared with their full consent. Any personal data that can be used to identify the patient has been omitted.
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