I have recently been diagnosed with advanced prostate cancer. I have been given the choice of 2 treatmen regimes i.e. Hormone therapy or chemotherapy. The hormone therapy is Enzalutamide + Prostap (leuprorelin acetate) and the chemotherapy is Docetaxel.
Because of the relatively severe side effects of Chemotherapy I am tempted to go with hormone therapy, particularly because a lack of libido isn't a problem in my relationship with my partner.
I would be pleased to receive any comments, guidance or the experience of others.
My PSA = 37 and the cancer has spread to lymph nodes, spine and lung.
Hello Cakni
Sorry to read of your dad, just a few things as all this is new to you, when you or your dad see the oncologist, make sure you have jotted down questions to ask, and jot the answers down, this will help a lot. He has time on his side now he’s on hormone treatment it will bring down the PSA so, unless he has underlying conditions they may well go for chemotherapy followed by radiotherapy.
There are new treatments happening all the time, so listen to what they offer, try not and jump straight in, I have the same condition bones pelvis etc, still here after nearly five years, so treatment does work.
take care stay safe.
Joe
Further to Joe's (joeven) comments on taking notes. I always take a digital recorder or smart phone in with me. I ask at the start of the session if it is ok to record and all have been fine with it. I find this has been invaluable because there is often a lot to take in on the day and going back over it can help and promp questions for the next session.
Take care
Pete
Hi Gang,
Not been on for a few weeks since starting my Chemo on the 20th. That's now 1 cycle down and only 9 more to go, no real effects after the first one, slight bloating and stomach unsettled but i do expect that to change as i progress.The only problem is all the add ons you have to deal with, Dexamethasone12hrs, 3 hrs and i hour before your Chemo, Filgrastim self injections for days 3 to 7 after your Chemo, Ciprofloxacin 5 days after Chemo for 7 days, prednisolone every day and the only if you need them brigade, i know they are all there to help and to soften the Chemo but the wife is threatening to shake me up to see if i sound like a rattle. Next cycle on the 11, but also got my 2nd covid jab on the 7th after several telephone calls. Next Onc app on the 13th of may to see how Chemo is doing
Anyway I am glad were all still fighting the good fight and enjoying life. Mothman hope the Abi is still working for you.
Got to say a big thanks to all on this site for the positive words and thoughts you all give out, i'm sure with all the positive energy we have we can and will win eventually.
Take Care Boys and Girls
Nick.
Hi Nick
congrats, a lot of people fall foul to side effects, you seem not to be one of those, the first is usually the worst and after three days you know you’ve had chemo, so take your hand reach round your shoulder and pat yourself on the back.
You might rattle with tablets and stuff, believe me it’s an every day thing for some of us ( me included ) so unless you have a new born no need to jump about and rattle.
Keep it going.
stay safe watch that temperature.
Joe
Hi Nick. (cnsmer)
Things still going ok here. The hot flushes at night are the worst side effect as they mean you lose sleepl. Using cotton sheets, blankets rather than duvet and a fan all help.
Glad your side effects have been manageable for you even if it has meant loads of pills. Your feedback is really useful as it is likely I will be offered Chemo in the future. I dreaded it as my sister died of re-occurent breast cancer and chose to die rather than go through Chemo again. But that was 30 years ago. Things have obviously progressed.
Keep safe and please keep communicating.
Pete
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