I unintentionally discovered that I had stage 2 prostate cancer after I asked for a PSA test as I had previously read about them. My doctor reluctantly included it in a routine checkup although I had to pay for it myself and my PSA levels came back alarmingly high. Further tests revealed a cribriform pattern in the tumor, suggesting that my cancer was more aggressive and associated with more severe outcomes.

I was neutral but surprised upon learning that I had prostate cancer. It was unexpected but I just thought to myself that “this is something else I need to tackle, so let’s get on with it”.

I did my own research, consulting with available resources (online, discussions, forums) before eventually discussing with my doctor. I was surprised about the physician apathy that I experienced and the inability or unwillingness to discuss treatment options beyond established standards. Nonetheless, we concurred that radiation therapy complemented by hormone therapy would be the best way forward for me so I opted for it. I was optimistic about it as this seemed to be the gold standard in dealing with my particular type of tumor. I have undergone HDR Brachytherapy, complemented by ADT and EBRT for a total of 23 sessions over a period of 2 months and I am still currently undergoing this treatment.

In terms of medical expenses, my treatment is subsidized.

Due to the treatment, I am experiencing weight fluctuations, fatigue and muscle loss. The most severe side effect for me is the weight fluctuations as it causes me to have to include daily naps to compensate for the loss in energy as my energy levels just aren’t there.

To cope with this, I try to increase my exercise frequency and improve my nutrition. I joined a gym and got a personal trainer to assist/encourage me. I also lowered my caloric intake to counter the rampant weight gain.

Survive, enjoy life, travel and focus on family.

I was not working when I was diagnosed with cancer as I had already retired.

My cancer diagnosis has had a profound impact on my personal life. My self-esteem/self-image took a hit due to the weight fluctuations. I know it’s vain but looking overweight is not my goal. This really affects me and I have been trying to cope with it by adapting my diet to a healthier one and exercising more. I am also struggling in my day-to-day life, especially having to accommodate the expected as well as unsolicited effects of various treatment components.

My biggest fear would be losing independence or the ability to care for myself. I have been trying to manage this fear by focusing on physical recovery and staying active as well as by joining a support group or connecting with other cancer survivors. I have also found it crucial to be married to an understanding spouse.

Today, I feel optimistic. I’m encouraged by the fact that at least my treatment has commenced. I hope it’s successful although I have my doubts about the effectiveness of the approach.

It is crucial to be married to an understanding spouse. In the case of men with prostate cancer, perhaps penis length and erectile dysfunction or sexual activity ought not to be prime focus areas. I am amazed how much attention men seem to give to their sex life.

It’s all about your mindset. Cancer is not on anyone’s bucket list but if you do get it, don’t wallow in self-pity and sentimentality. You have a job to do, so do it to your very best ability and get on with it. Once a diagnosis has been confirmed, you must focus on how to deal with the issue positively and in the most aggressive way possible. You’ll realize that you start thinking about life in terms of “before diagnosis” and “after diagnosis”. Your life will never be the same again and seemingly unimportant issues become important. You’ll also start thinking about your legacy.