Hello,
New here so I'm saying hi, and slowly coming to terms with my Dad's recent diagnoses.
My Dad (61) has recently been diagnosed with metastic prostate cancer. In February his PSA was 77, and in March had gone up to 104. His MRI was a 44, and density of 1.75 and Likert 5 lesion.. with numerous metasases and no lymphadenopathy identified...He never goes to the GP / hospital and only went after experiencing very bad neck pain in January which stopped him from getting out of bed, but aside from that he's had no symptoms, and put any twinges had down to getting older, he;'s still very active and works. So this diagnoses has been a huge shock to us, and also himself as he's been quite slow in giving us the full picture and information.
Now I feel I have as much as I can get, I feel better equipped to ask others experiences of this. He's started the hormone injection and the Oncologist has advised him to start Chemo along with an oral hormone drug. Today his PSA has gone down back to 2.
I wanted to ask if anyones experienced anything similar? How did they navigate treatment, did they start off with the triple approach? He's very hesitant to start chemo as he feel he doesn't have anything physically wrong with him, but I am keen for him to give it all he can to fight it for as long as possible. Would love to hear of anyone else's similar experiences and also any daughters dealing with their single Dad going through this (I feel like I am to blame for not forcing him to go to the GP more and request regular PSA's as his brother had an experience 2 years ago and was luckily caught vert early on).
Sending everyone love and light in what you're experiencing - I can only hope this turns around for us and anyone else going through this nightmare.
Don’t ever blame yourself. The 2.5 years I’ve had the diagnosis I have felt lucky not to have any symptoms at all. It’s a sneaky cancer. I’m stage four with metastasis in the bones. I have no pain. I was put on HT immediately and will always be on it. My PSA went down to nothing. Take a deep breath and wait for more information. This community is full of carers of all kinds helping their loved ones through treatments. Don’t panic. Ask questions. On this forum you will find that you are not alone but we do (digitally) hold hands together in the hope we are going the best way. Welcome, you are not now alone.
Hi Rosie,
As Mr U has said, don't blame yourself. My husband (80 now) was diagnosed four years ago, metastatic but just to bones and a psa of 1200. He can only have hormone treatment as has other health problems, but apart from that, I would say that he does not have any other symptoms from the cancer itself. However, it is strange that you mention the neck pain as that is exactly what he has been having recently and was offered palliative radiotherapy. On balance as the pain is only a few times a week we decided not to have the treatment just yet, as does have side effects.
The hormone injections themselves will make him slow down considerably and very much affect his moods. If you can imagine that a man has lived so many years with testosterone ruling his life. Let's face it, some men even belief that it can explode in contact with a kettle, washing machine, ironing board etc. Sorry, I jest, but you get the picture. Suddenly, after the dreaded injections, those little blighter hormones named testosterone start disappearing and you can imagine how these poor chaps must feel having to adjust to living without them. My husband even asked me if I could teach him to make an apple pie after two months on Degaralix!!! Those were things that women produced at the dinner table after a satisfying meal, not something he would ever have contemplated making himself. I do have to admit though, the first attempt was not that bad!!
Semi joking apart, you will soon get more advice from the great guys and partners here, who will be able to give you more information about their journeys. Whatever you do, stay on this site and stay away from Dr Google, not a good place to visit.
Sweet dreams
Gina
Hi Rose. I can really relate to what you're going through and just want to send you the biggest hug. I'm the daughter of a wonderful dad who was diagnosed with metastatic prostate cancer at 64, in September 2023. His initial PSA was over 700.
Like your dad, he didn't have any obvious symptoms - just back pain that he'd been struggling with for a few months. He's always had back issues on and off throughout his life and he saw the GP, but nothing major was picked up at the time. It wasn't until he started struggling to walk one day that he went to A&E and that's when we got the diagnosis. The cancer had spread to his spine and was compressing his spinal cord, so he needed urgent treatment in hospital. Thankfully, he's regained his mobility, is back to driving and most importantly, can walk himself to the pub again! :-)
Apart from the back pain, there were no other clear signs, which does make it all the more frightening. Please don't blame yourself - it's so common at the age to write off aches and pains as ordinary, even I thought my dad had just pulled his back out.
If it helps, my dad started on the hormone injections straight away, and a couple of months later had 8 rounds of chemo. We were really worried about how he'd cope, but he handled it very well. In fact, the side effects were milder than we feared and he even managed to keep all of the hair on his head (though to be fair, there wasn't a huge amount left to lose!) :-)
I remember looking into triplet therapy early on - it looks really promising and can be very effective I understand. In our case, his oncologist opted for chemo alongside hormone therapy to start and mentioned wanting to keep some treatments "in reserve" in case they're needed later on.
Please know you're not alone in this, and remember to take care of yourself too - I remember how overwhelming everything felt in those first few months. Thinking of you and your dad and sending lots of love and strength.
Skye xx
Hey Skye thank you for ur message ️ so lovely to even hear ur dad is still fabulous in 2025! It’s so scary because it does feel like a real silent creeping illness. I’m hoping my dad will chose to start the chemo in a few months to
(after my wedding
) but I’m so glad to hear your dads still active - hope everything goes as smooth as possible for you all and you and your dad can continue to be fabulous for longer to come xx
Good morning Rose8701 and welcome from a wife whose husband was diagnosed with advanced metastatic prostate cancer in July 2020 at the age of 76 and is still going strong. You have been given some great replies but I would like to add a little bit about the Triplet Therapy. There have been trials to assess how effective the different elements of it both individually and in combination are, plus the timing of when they should be administered. The most effective combination in terms of holding the cancer at bay for the longest time seems to be to start with the hormone injection and then to start chemotherapy within 12 weeks. The hormone tablets should be started concurrently with the chemotherapy and no later than one week after starting chemo but should not be started before. The theory is that the cancer cells are hit the hardest with the initial radical treatment and this increases how long it remains effective for.
https://www.clinical-genitourinary-cancer.com/article/S1558-7673(24)00002-8/fulltext
The hormone therapy does put the cancer into hibernation for a while but it is things like chemotherapy and radiotherapy with kill it. The chemotherapy affects people in different ways and there is no way of predicting what side effects your dad might experience but to help you understand what can happen I will explain how it effected my husband. He felt very well on the day of the infusion and for 2 days afterwards (probably due to the steroids which are given with the chemotherapy). He then had 3 days when he was very tired and achy with flu like symptoms. Days 6 to 9 of the 3 week cycle things improved and from day 10 everything was back to normal but the fatigue did build up the more cycles he had. We organised activities during week 3 of each cycle but were careful in crowded places because of the risk of infection and avoided anyone with bugs. Your dad needs to discuss what the consequences of delaying chemotherapy might be on his long term outcome with his oncologist. The doctors are normally very good at arranging appointments for treatment around important events and life does carry on during it.
There are going to be some practical things that you can help your dad with whilst he is undergoing treatment but more of that later when you know what is happening.
There is nothing to blame yourself for, your dad is an adult. It might be an idea if you suggest he joins the forum himself as we can give him an idea of what to expect as well as providing support or understanding of how the cancer might affect him and more importantly where to get help if he needs it. It is a frightening time for everyone and it sounds like your dad has been trying to protect you but maybe by letting him know that you are wanting to understand what the treatments involve and help him through it then he might discuss it with you. Ask whatever you like and we will try and help.
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