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Prostate Cancer

So I have two younger brothers that have been diagnosed with an aggressive form of prostate cancer in their early 40s, the youngest being diagnosed last week. I'm the oldest and my PSA level/score is 1.5 ng/ml but then again i take dutasteride for my hair, since I'm the vain one in the family or maybe just because I'm the gay one. But I more or less have the same genetic makeup as they do, which is not good obviously Anyway, I'd have two questions about it:

1) I notice that many women with genetic vulnerabilities get their breasts or uterus removed even before they get diagnosed (like Angelina Jolie) with breast cancer or cervical cancer: Does such anticipation/being proactive apply to prostate cancer because I've never ever heard any man say they had their prostate removed prophylactically because of some bad genetic makeup?

2) Do the nerve endings that the prostate has go bye bye with the prostate (and suddenly crochet knitting sounds much more enjoyable than having anal sex) or is it more complicated than and can there still be sexual enjoyment, or is it totally unpredictable and it changes from one man to the next?

Sure, you could tell me why don't you ask your brothers about it, but nope, I was raised in a pretty uptight family and this is not the kind of conversation I want to have with anyone in the family.

by Anonymousreply 10June 9, 2025 11:57 PM

so you go to your doctor more often for check ups! maybe it's their lifestyles and diet...or yours! Good luck and FUCK CANCER!!!

by Anonymousreply 1June 9, 2025 9:57 PM

FUCK AQUARIANS TOO (for reasons known to them)!

by Anonymousreply 2June 9, 2025 10:00 PM

I've never heard of a prophylactic removal of the prostate gland before any cancer is detected. I'm not sure insurance would even cover that.

You would be well-advised to have your PSA checked frequently and be ready to move if there are indications of cancer.

I underwent a radical prostatectomy five years ago (at age 58) after an aggressive tumor was located through an MRI-guided biopsy. I can no longer get or maintain an erection (at this age and in my personal circumstances, it just hasn't been that important to me). But they say pills can help.

On the plus side, I have had no issues with urinary incontinence.

Stay on top of things, OP, and good luck to you.

by Anonymousreply 3June 9, 2025 10:17 PM

I don't know about prostate cancer, but the women who have opted for prophylactic mastectomies carried a specific genes associated with early breast (and ovarian) cancers, BRCA1 & 2. I don't know if there's an equivalent for prostate cancer, but I'm a female.

[QUOTE]But I more or less have the same genetic makeup as they do,

Not really. Theoretically sibs share ~ 50% of their genes. And then there's and meiosis which occurs during reproduction and cell division. It shifts chromosomes and genes around to produce different combinations to preserve genetic variability. So it could be a lot less. Genetics are a crapshoot.

by Anonymousreply 4June 9, 2025 10:22 PM

^ pardon the crappy editing

by Anonymousreply 5June 9, 2025 10:23 PM

Pardon denied.

by Anonymousreply 6June 9, 2025 10:37 PM

OP, you should know that those taking finasteride or dutasteride are advised to have their PSA level multiplied by 2 to get a more accurate reading. You can google it.

by Anonymousreply 7June 9, 2025 10:52 PM

tl; dr

by Anonymousreply 8June 9, 2025 10:58 PM

My father died of prostate cancer, and I started getting annual PSA tests in my 50s. My PSA levels started rising in my late 50s. I developed prostate cancer, but my doctor said it was not aggressive, so instead of surgery, he recommended ongoing monitoring. Last year, the cancer became aggressive, so I underwent a prostatectomy. Just last week, I finished 39 sessions of radiation therapy because some of the cancer had spread beyond the prostate. I'll know in about 90 days whether I'm cancer-free now.

My recommendation is that you continue to get regular PSA tests. If your PSA levels rise, your doctor will recommend a biopsy. If the biopsy comes back positive for prostate cancer, my recommendation is to not mess around and get the prostatectomy.

by Anonymousreply 9June 9, 2025 11:05 PM

I’d rather die.

by Anonymousreply 10June 9, 2025 11:57 PM
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