Side effects after Hormone & Radiotherapy after 18 months

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My husband was 74 when diagnosed with PC in October 2023.
HT started February 2024 and RT of 20 sessions during Jan-Feb 2025.
HT stopped after the RT, therefore, no treatment since Feb 2025.

As someone who has a deep phobia about illness, particularly cancer, and hospitals, he has gone through this procedure remarkably well. However, he has not attended follow-ups - he is so frightened in case the condition has worsened, spread, or some other form of cancer is found, he does not think he would be able to cope.
He experiences deep fear, anxiety, worry, stress, although this is getting less now.  Lager/cider help to give him some feel of 'normality'. He is conscious of alcohol consumption and controls that.  He has Valium to help with this sometimes but is aware that this is addictive, so he takes only on 'Dry' days which can be from 15 to lately 30+ days apart.

Side effects now, August 2026:
Of course, libido disappeared, but there have been intermittent signs that something is coming back.  Occasional hot flushes, physical energy is extremely low, and has horrific mental goings-on. Around Aug/Sep 2025, his breasts started to hurt, become very tender to touch and his testicles or perineum ache from time to time. Breast tenderness has reduced significantly, but testicles or perineum aches are more frequent now.

Physical activity often just the thought creates mental pain - although occasionally he has come into the garden when I've been there, and has said that's better, but needs to go inside after a short period of time.  I have tried to encourage him to do gently exercise; he'll do weights, and recently tried resistance band which he said actually helped.  But he can only do for a very short time. He doesn't like walking, but when we are at our destination, I'll part a reasonable distance so that he gets to walking some.

Much of his time at home is watching various TV channels ... thank heaven there is a lot of choice these days! so we tend to go out most afternoons for 3-7 hours depending on distance; it gives some feel of normality and it is helping. We meet friends on an ad hoc basis at various pubs and he is back to himself socially and sharp sense of humour is there.

He won't visit the doc or speak with specialist nurses as they will all say to have tests, which will only cause further distress.

He does wonder if this will ever end.  

Does anyone else experience these side effects so long after all treatment has finished?

  • Hello  

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  • 10 October 2026


    A couple of months passed since my previous post. Breast tenderness seems to have gone, but testicles or perineum aching a little more now. We are putting this down to his testosterone coming back.
    Recently he's had a couple of erections, the last time apparently a proper one when he woke; that was about a couple of weeks ago.

    He still won't go for check-ups or see his MD for reasons said earlier.
    He's still getting the fear, stress, anxiety and worry, particularly in mornings, although this is still getting less.

    It's still a struggle to have a good shave, or do small jobs like washing up.
    He can't pursue his interests. He knows that he needs to want to want, but it just doesn't happen.
    He is now quite depressed, although with winter approaching, it's never been a good feel for him plus a horrid cold doesn't help.
    That aside, he feels quite useless, and exhausted with having to control his mind to keep the concerns away as much as possible; exhausted with the mundane daily routine; exhausted with wondering if this will ever end.

    We still get out virtually every afternoon for 3-7 hours depending on distance, to give some normality into his life. He won't drive. When we meet friends it's on an ad hoc basis as we know where they go. Socially he's fine, his sharp sense of humour is there and on the surface to others, there is nothing the matter.
    But the thought of going home depresses him. We are fortunate that we have a lovely home in a beautuful location, but he just can't 'see' it.
    He is suffering such a lot and feels quite worn out.

    Hormone and radiotherapy stopped beg February 2025.
    Does anyone else experience these types of feelings after so long after treatment?