My Experience with Prostate Cancer Treatment

Despite ADT improving overall survival in appropriately selected patients, it is accompanied with a range of adverse effects, including negative alterations to BMD, structure and strength, lean tissue mass and fat mass, which may contribute to the increased risk of osteoporosis, falls, fractures and cardiometabolic-related events observed in this population group. Although various guidelines exist for men with PCa treated with ADT, there is a need to implement and evaluate the growing body of evidence supporting the use of lifestyle interventions to ameliorate and manage the adverse effects of ADT. Clinicians should consider referring suitable men to practitioners within the allied health profession (for example, exercise physiologists and dieticians) to ensure these men receive the greatest quality of evidence-based care. Our proposed recommendations are outlined in Table 4. Future trials are required to assess both the risk and benefits of adhering to these guidelines and only then may these be fully incorporated into standard practice for men treated with ADT.

Thank you for sharing your treatment journey with the community. Two years of hormone therapy is a significant commitment, and many others here have walked similar paths with depot shots as part of their prostate cancer treatment. Your experience can be valuable to others who are considering or currently receiving similar treatments, so feel free to share any insights or questions you might have along the way.