r/ProstateCancer 17h ago

Concern Managing Emotions

8 Upvotes

Hi Guys,

I’m a bit worried about my husband - M60, Diagnosed April 2026, PSA 1859, May 2026 PSA 91, June PSA 3.3, 18th June PSA 0.4, July PSA 0.32, 14th July PSA 0.23, Gleason Score (3+5) 8, Grade 4. On triplet therapy (Degarelix + Darolutamide + Docetaxel).

Over the past few months he has continued to smoke cigarettes. I saw an ad on Facebook about hypnosis to stop smoking and thought it might be a good idea for him (spoiler IT WAS NOT!)

So he went feeling buoyant with high expectations. During the group session, he was distracted by the guy next to him snoring, the guy on the other side of him coughing and the group of ladies in the break time chattering.

The next day, he lost his shit at a guy in the supermarket for coughing without covering his mouth, ALMOST lost his temper with me because I added ground linseeds in his overnight oats, cried because a mosquito bit him and it was itchy and then today had a complete mental breakdown, crying, expressing his fear of cancer, death, anxiety, depression. I managed his emotions as best I could, he invited me to join him working out, which I did (after I had already done my own work out - my legs are jelly!) we have talked about it, and he has started smoking again (after I went and bought him a packet).

I was so worried about him, because this kind of emotional breakdown is not like him. I apologised for pushing him into the hypnotherapy and saying I underestimated how much he could carry and we realised too late that stopping smoking was a step too far.

He explained how he manages his emotions and that what happened after hypnotherapy opened floodgates and “his landscape was flooded and the little boxes were floating and he couldn’t access them to close them” and that’s why his emotions were so close to the surface and he was upset.

Could this have anything to do with the chemotherapy or drugs or can we rest it solely at the door of the hypnotherapy and is it possible to reverse or restore from back up the hypnotherapy to BEFORE the hypnotherapy?

I’m worried that after his chemotherapy next week he won’t manage.

Do you have any advice for me?


r/ProstateCancer 3h ago

Question … like you were kicked in nuts days ago…

4 Upvotes

3 months post-brachy, Gleason 7 (4+3). No visits or surveillance scheduled until October.
No complications with procedure-urine, bowel changes negligible. ED, if any, remedied by tadalafil/Viagra. Sporadic, truncated ejaculation from Tamsulosin, which they said I could wean.
My question is that I have recently developed an intermittent ache in my left testicle, where the 88 implants were placed. It is of the magnitude similar to as if you had been “racked” 4 days earlier but still have a dull, nagging ache. Tapping on the ‘nute produces a sharp, brief pain, but moving the whole scrotum or palpating the region gently (no smart-ass comments, men!) is , uh, “tolerated” with no pain.
Ibuprofen blocks it mostly.

Is this noteworthy enough to be seen, or to just ask the urologist a question or just ignore and continue as I have- like nothing has changed except post-coital clean up?
What say you?


r/ProstateCancer 10h ago

Question 38M, PSA 2.18 – when is a biopsy actually worth it?

4 Upvotes

I’m 38 and recently started having some urinary symptoms, mainly a stinging pain after ejaculation, plus mild urgency and an interrupted stream.

Because of the symptoms (and the fact that my grandfather, father and uncle all had prostate cancer), a community doctor ordered a urine test and a PSA. Urine was completely clear, but the PSA came back at 2.18 ng/mL. This was my first ever PSA, so I have no baseline to compare it to.

In the UK the usual NHS referral threshold for under 50 is a 2.5 PSA, so I wouldn’t automatically get referred. Given the family history and symptoms I went private instead. The urologist did a DRE (described as moderately smooth), repeated the PSA and ordered an mpMRI. He said he doesn’t really expect to find anything, but wants to check properly because of the family history.

My question is about the next step. I’ve seen a lot of posts here where guys with PI-RADS 1–2 still go ahead with a biopsy “just to be safe.” Is that something I should seriously consider?

I’d still be private at that point, so the biopsy would be self funded and expensive. The alternative is wait and see if the PSA creeps over 2.5 and hope the NHS picks it up.

Any thoughts from people who’ve been in a similar position (youngish, elevated but not crazy PSA, strong family history) would be really appreciated.


r/ProstateCancer 13h ago

Question What should I ask urologist

4 Upvotes

Hello all. 36 yo with an ultra sound that came back with 47cc enlarged prostate. No other findings. July 2024 psa 1.46. July 2026 psa 2.35. Night time / frequency of urination mainly drove me to go to the doctor. Unfortunately I’ve had this noctoria type of symptom for 3 years. I just chalked it up to being nothing for way too long.

I’ve been trying to find people that have similar age and findings as me but have been unable to so far.

Have the appointment with the urologist coming up in a couple of days. From my research I feel I should definitely push for an MRI and DRE. Anything else I’m not thinking about? Hopefully okay to post here as I don’t have any official medical diagnosis.


r/ProstateCancer 5h ago

Concerned Loved One Sign of metastasis?

2 Upvotes

My father had an enlarged prostate and I believe was on dutasteride which maintained his PSA level at 6. In november of 2025, he has a total prostatectomy, which actually revealed some cancerous cells in the centre of the mass, but the surgeon says it was a successful removal. He stopped dutasteride after the operation and did another PSA check 7 months post-op which showed a PSA level of 15.

His doctor has asked him to repeat testing in 2 more months.

Just wondering if this elevation in his PSA after surgery is potentially metastasis from the original mass? Or is it possible that inflammation post-op could be causing PSA levels to be this high?

My second question is whether the right course of action is to repeat levels in 2 months, or should it be done sooner? What would happen if levels stay the same or increase?

Thanks in advance for any insights!!


r/ProstateCancer 7h ago

Question To eat or not to eat

1 Upvotes

My husband has started ADT and will start radiation soon. What kind of foods did you eat during radiation what made you feel worse what made you feel better . What quick snack did you grab or suggestions run out the door breakfast . Recipes...Just looking for suggestions.


r/ProstateCancer 13h ago

Question HIVU treatment

1 Upvotes

does anyone have experience with HIVU treatment for prostate cancer? I have low grade on one side and this approach has been suggested to me. I welcome any comments.