Why are all the medical team women. do they really understand what men are going through

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Hi All

 This goes on a bit so skip to the end for my questions

I am new to the group, so what brings me here you ask, well I am a man aged 59 living in Leeds West Yorkshire with Prostate Cancer yet everyone I have spoken with so far has been a woman, I don’t have anything against women but I ask myself how can they understand what I’m going through. Yes they are sympathetic and listen to my concerns but do they understand. I have some very specific questions around the outcomes of the treatment, yet only get generic answers.

 

I asked if there are any men who have gone through this journey that I can talk to, but didn’t get an answer, so here I am. I use the word Journey as this I how it has been described in the NHS leaflets which have been handed to me, all of which have been too generic to be of any use.

 

My journey so far has been I had blood in my Pee back in September so went to the doctors after been nagged by my partner. I was going to wait and see, so the short version is, I had several blood tests which showed a PSI of 14 amongst other things, I was sent for a Cystography but wouldn’t go through with it, I tell you I was terrified of having something shoved up my dick, in my view the medical staff once again all women didn’t seem to understand my concerns, when I asked how thick the camera was she casually pulled a biro out of her pocket, saying a bit thicker than that.

 

A week or so later the lady urologist rang to give me a telling off for refusing the camera, telling me I was a naughty boy for refusing to be dick raped, then saying I would be booked in for an MRI scan which happened 3 days later.

 

4 days later the urologist telephoned to say they had found some lumps in my Prostate which I would need a biopsy to diagnose, this happened 3 hours later, Though unpleasant it was nowhere near as bad as it thought it was going to be, as been a needle phobic person having around 30 needles stuck in me could have been a nightmare, I’m not so needle phobic now.

 

I think the worst part was the 15 day wait for the results which I received on 20 December 2024 by a nice lady doctor who after giving me the bad news asked me if I thought I had cancer, my thoughts were why the hell would I think I had it, what I said was well with a PSA of 14 I thought it more likely than not that I would have it, then I went on to asked several questions about stages and treatment options including if I opted for no treatment. The doctor seamed impressed by my composure telling me it would be OK if I had a cry, why would I cry, I’m not going to die of it, I said, then told her a cried 27 years earlier when I was diagnosed with Testicular cancer but an still here to tell the tail.

Skipping along as I’m sure people are loosing interest by now. I have seen the Professor a couple of times I have been taking the Hormone suppresser pills almost 3 months and last week the professor asked If I still have any sex urges my reply is. Yes all the time I want it everyday, can I still get an erection. Yes no problem at all, you know you will have dry orgasms don’t you, From what I have read not necessarily, then  went for the tattoos to line the Radio been therapy machine up for when treatment starts in a couple of weeks. So far everyone I have spoken to has been a woman. My questions are still unanswered so here goes.

 

Will I really have completely dry orgasms ?   

Will I still make precum ?

Will I still enjoy anal sex ?

  • Hi  , interesting and I don’t know the answers but here are my thoughts.

    I can’t quite remember when I lost my desire for sex but it wasn’t the amazing surprise I thought it would be.  The HT not only took my ability to have an erection but also my desire to have one.  After 3 months on HT you are proof that we are all different and perhaps the inability to answer your questions (by me and all your team) shows that there isn’t a standard reaction and we all react differently.  None of us on here are medically trained so we can usually only give an answer based on our own experiences and what we have picked up along the way.  My own thoughts are

    1. That if you continue to have erections they will become dry.

    2. No.

    3. Not a clue.  
    Others will hopefully be along to give their own thoughts.  David

  • Good Afternoon  

    A warm welcome to our exclusive club. I am sure you will find it to be helpful and informative - particularly as over 50% of the group are ladies.

    Although my original consultant who was amazing was a man - my entire team are ladies who are very professional with a fantastic knowledge of prostate cancer. The care and attention I have received is second to none and if I had to give them a review it would be 5Star. I can't see how having female NHS staff on urology and oncology has affected my journey - yes I have lost my dignity but I am still here to talk about it!

    in answer to your 3 questions

    * Yes.

    * No

    * What ever floats your boat!

    My desire is for life - living it, with quality and I still have it thanks to the lovely ladies at The Christie in Manchester and my desire for life far, far outweighs my desire for sex.

    I have been supported throughout my entire journey by by my wife, my team and the members of this Community - and as I have said many of them ladies.

    It's the care support and knowledge that count - for me it's life over sex anytime.

    Best wishes - Brian.

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  • Ok, so this is what I found after RT was over in 2017.

    Def orgasm's dry or nearly but orgasm' itself probably slightly better than before, I have read other people say that as well, not sure why.

    Can't answer to No 3 afraid 

    Any stats available for better advice, IE, PSA , Gleeson, MRI report?

    Best wishes 

    Steve 

  • Thanks for your reply, I understand your comments about been alive, for me sex is a really big part of been alive, I know where all different, but i have always has a high labedo , You say like over sex same here or i would just wait for treatment but life without sex, is it worth living ? 

  • As a woman  ,

    when I was undergoing gynae issues it was always men. All I could think of is going to cure me even when my dignity was at my feet 

    And more than likely your woman consultant is very professional and sympathetic towards you and your condition. 

    My OH was embarrassed when he had the digit test and biopsies by a male medic. So I don’t think it would make any difference of gender. 

    we all need to be thankful for the medical experts who are currently overwhelmed by the amount of men being diagnosed recently. 

    hope all goes well for you 

    Liz & OH xx

  • Hello  

    but life without sex, is it worth living ? 

    100% - life is good - if you read my journey (by clicking on my name or avatar) you will see I almost lost mine in 2021. You will see I am needle phobic and also have had a TURP operation where my prostate was "shaved" by a consultant working through my penis whilst I was awake having had a spinal injection.

    I have had 3 years on Hormone Therapy - no sex, no erections - and indeed no thoughts about sex!! Yes we have had fun in the bedroom and other places too but seeing my adult children and grandchildren grow and prosper - YES life without sex is fantastic.

    As I write this I have just come in from my balcony in Turkey after a lovely sunny day and life is good Sunglasses. I completed my 3 years Hormone Therapy in December 2024 and I don't need a Testosterone Test to tell me it's back!!

    Yes I am 10 years older than you and perhaps nearer the end of my life than you - but I tell you what - in those days when I wondered if I would pull through, life looked something to aim for.

    For me at least - and I consider I had a normal "sex drive" (whatever that is) life is by far more important - however at the end it's down to personal choice.

    Best wishes - Brian.

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  • but life without sex, is it worth living ? 

    In my view yes, no doubt!  David

  • "..but life without sex, is it worth living ?" 

    Having been there a couple of times, in my opinion most definitely yes (especially this morning as I sit in the garden of our rented holiday home in Tucson, Arizona watching the hummingbirds feeding on the flowers, where it's sunny and 80F at 9.20am!)

    Made in 1956. Tested to destruction.
  • So here's a thought.

    First off, most of the staff are women because it is a caring profession and men do not volunteer for those so much. I don't know why. I really hope that it is not because we think it would be beneath us.

    Fortunately, as you have already found there are plenty of men on here willing to answer experience.

    I am really lucky because my wife and I had already confronted the issue of sex because she had some medical issues. So, when my erectile became dysfunctional my libido had already gene walk about. I had a "who cares" moment and got right on with life.

    When I was having.radiotherapy, these was a male radiographer easing my backside into place so that the dots lined up. He apologised for having cold hands. I said to him that he was trying to cure me of cancer and I really didn't care about cold hands, or anything else they were doing.

    It occurred to me that was true. I had read all about it, I knew exactly what I was these for, and I resolved to be the most co-operative patient they ever had.

    It seemed to help.

    Ask here for questions only men can answer, and then you will find it easier to help the people try to cure you to do their job.

    Steve

    Changed, but not diminished.
  • Life without sex still goes on. I always thought myself as highly sexual so with my choice of a prostatectomy I was well aware there would be changes. At 67 for me to lose my libido was just as shocking as if it happened at 30. I have been sexually active in some shape or form practically ever day since my first  experienced at 14. When discussing this with my partner she was very direct saying any deficits no matter how drastic,  were better than the alternativ.

    I am now 6 weeks post op. I have ED but by using vibratory stimulation I do achieve orgasm. This is dry , no precum or ejaculate but just as intense as before if not better at times. I didn't wait too long and began stimulation, as advised by the surgeon, as soon after the catheter was removed as possible.

    As my wife very succintly puts it, at least you are above ground.