Life goes on

[Midnightworker (imported)]

After having my prostatectomy with the robot. Picking up life again. Had to use piss pads for about 4 months. And mr happy is not so happy anymore. Operation was not nerve sparing. Also started TRT again. But I am not so happy with that. With mr happy in a depression. And a high libido that’s frustrating. Been at the endo today and going lower on testosterone. Due to my gynecomastia and primary hypoganadism. (Not klinefelter) he is careful with going to use estradiol.

[rushsite (imported)]

I hope you are getting superior medical advice about the chemicals and side effects. God bless.

[cutnbulls2ox (imported)]

Sorry to hear you are having troubles. Lots of medical necessity men and eunuchs on here trading info and experiences with each other. Drs think balls, erections, sexual pleasures, orgasms, and libidos are only for young breeder men to enjoy. And don t care if they emasculate any non actively breeding men.

[ntalhoun (imported)]

Glad to see you picking up life again and best wishes for speedy recovery. I'm scared of the prospect so happy to see recovery story

[TopManFL (imported)]

... with the robot. ..

. Operation was not nerve sparing...

Also started TRT again.

Hey @Midnightworker,

I'm sorry to hear you are going through this. Any cancer Dx is beyond scary and patients tend to do what they are told (for good reason - it saves lives). I am curious about your treatment.

One of the biggest reasons for the surgeon to operate robotically is to spare the nerves. The robot doesn't actually do the operation, it's just far more dexterous and visibility is greater to find and spare nerves. Why did they use the robot if the procedure wasn't nerve-sparing? Was it suppose to spare the nerves but, in the end the nerves were damaged in any event?

Also, testosterone replacement therapy. Because they are willing to give you TRT, I assume your prostate cancer was not testosterone dependant. Because of some prostate cancers being testosterone dependant, treatment includes total testosterone deprivation (either through chemical or physical castration).

I'm not just curious. I think your story could help others who have a Dx of prostate cancer.

I'm glad you found an endocrinologist and hope you like him/her. Finding an endocrinologist at all is a huge task. Find one you like is just a bonus. I finally had to use two different doctors to get the same result as having an endocrinologist because they are such a rare type of doctor. At first, I wasn't happy seeing an oncologist instead of an endocrinologist but, it's working fine. My primary is doing my hormones and the oncologist is ordering the various blood work, ultrasounds, etc. Mine was thyroid not prostate.

[Midnightworker (imported)]

Third try to answer. Prostate cancer is afaik alway’s hormone dependent. My endo whom put me on T said that the cancer was already there. And adding T was like giving fertiliser. After losing my prostate I just could use the T again.

The reason why they are using the robot here is becouse there is no trembling in the hand. And instead of a scar from my dick to my belly button there are just 6 smal scars.

Being circumcised at 9 year. I now have foreskin again. But the overall size is about half an inch to one inch shorter. And when it is cold I can’t find him again. But after my operation he has never been hard again. And with having libido it is rather frustrating. I do not want to use caverjet or cialis viagra or a pump. Intimacy has to come natural. So now I am busy with my endo getting my libido lower.

[Chesleyt (imported)]

for the libido and depression I'm sure you are going through ask if they could give you effexor I'm on 200 mg testosterone a week and have levels at 1100 ng as of last test but the effexor has pretty much killed my libido and sex life so you could get the needed testosterone and not be fustrated sexually and get the benefits of an antidepressant also did your cancer spread to your nerve bundled making nerve sparing surgery impossible. for the information of the massed robotics radical prostectomy is the least damaging precise and least bloody procedure done and yes if you are a candidate for the nerve sparing procedure it is the most gentile procedure to not damage the nerves

[kristoff]

Strongly recommend NOT using Effexor. It is very effective as an anti-depressant, and it does cause libidinal and ejaculatory impairment -- there is a reason many people refer to it as No-Sexor. My complaint with it is withdrawal - it is usually pretty horrific. I titrated down to 37 milligrams before stopping use of the drug. The consequences started the next day - chronic and constant headache that was quite painful. Nothing would cut the headache, nothing helped, not even sleep. The only solution was to ride it out. The headache lasted a full two months, although it did gradually diminish. When it was done it was a full two months and it was finally gone. When I told a psychiatrist colleague about it, he just laughed and said that is why he will no longer prescribe it.

[Losethem (imported)]

Strongly recommend NOT using Effexor. It is very effective as an anti-depressant, and it does cause libidinal and ejaculatory impairment -- there is a reason many people refer to it as No-Sexor. My complaint with it is withdrawal - it is usually pretty horrific. I titrated down to 37 milligrams before stopping use of the drug. The consequences started the next day - chronic and constant headache that was quite painful. Nothing would cut the headache, nothing helped, not even sleep. The only solution was to ride it out. The headache lasted a full two months, although it did gradually diminish. When it was done it was a full two months and it was finally gone. When I told a psychiatrist colleague about it, he just laughed and said that is why he will no longer prescribe it.

Lexapro, same damn problem.

[Chesleyt (imported)]

Now I'm afraid of going off it I already have migraines maybe I'll have to live with not being able to have sex again. I'm really scared I wasn't told about any side effects or withdrawal symptoms. I'm sorry for suggesting it now.