In Shock and Choices !

3+4 has so much variation. It can be almost liw risk if pattern 4 is low less than 10%. With no other risk factors like cribriform or risk of being stage T3. 

I think you should take your time. The diagnosis creates a sense of urgency and must act now mentality. You could be years away from needing to make radical treatment decisions. 

Try to get as much information as you can about your diagnosis. It can help others if you add details to your bio on here. You can also click on names and see if they have documented their journey. 

The first few weeks will be stressful, but be assured you don’t need to rush in most cases of 3+4

Stay positive your diagnosis shows things have been caught early and the cancer is not aggressive.

You should be able to have a wide choice of treatments and get back to a normal life with every chance of a cure.

The word cancer is scary but prostate cancer is slow growing and there are many very effective treatments available. 

Your main problem will be determining the best treatment pathway for your personal circumstances and disease.

Best of luck Rob (Sandberg)

You are very young and rightly scared about your relationship with your other half and family. Prognosis is not on the horizon and as the other two forum replies have said, you have loads of time to consider any treatments.

The sexual side of Hormone Therapy can make and break relationships and this “couples disease” is going to test it. But stick together and find love where you both can be happy together, it’s fantastic if it works.

But the changes are indeed hard to deal with as long this prostate path. Hold hands tightly to you nearest and dearest, talk as much as possible about how you feel, cry if you need to, we all do quieter a bit of that. It’s natural.

Good luck but be patient

As Mr U has said above, this can be a couples illness, especially if you opt for a treatment that affects your capacity for sex.

Consider what is important to you and your partner, as this will be a factor in your decision.

My wife and I discussed this and accepted that the treatment with the best documented results was going to be the one.

I took that - hormone therapy and radiation - and my libido (and other things)  collapsed immediately.

My wife also has her own problems, so we had been tackling these problems before.

Everything has worked for the "better together" scenario.

The moral of the story is to really think about the effects of the treatment. Discuss it, and prepare.

It won't be so bad if you are ready for it.

Thank you Rob. Much appreciated 

Appreciate the thoughts and advice.

Thank you

Thank you for the kind words.

No plans for hormone therapy based on results. 

Thanks Steve.

Great advice and very helpful.

You may wish to do nothing other than active surveillance. My results were very similar, I can’t see you needing HRT so I can’t see why people are even talking about that..  have a look at my profile.