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What happens in late stage prostate cancer?

Advanced prostate cancer can cause symptoms, such as fatigue (extreme tiredness), bone pain, and problems urinating. The symptoms you have will depend on where the cancer has spread to. Speak to your doctor or nurse if you have any symptoms. There are treatments available to help manage them.

prostatecanceruk.org - Advanced prostate cancer

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What treatments are available?

If you have advanced prostate cancer, treatment won’t cure your cancer. But it can help keep it under control and manage any symptoms. If you’ve just been diagnosed with advanced prostate cancer, you may be offered the following treatments: Research has found that having radiotherapy together with one of the main treatments listed above can help some men with advanced prostate cancer to live longer. But radiotherapy isn’t suitable for all men with advanced prostate cancer. If you live in Scotland, you may also be offered a type of hormone therapy called abiraterone acetate (Zytiga®) together with standard hormone therapy. In the rest of the UK, abiraterone is currently only given to men with advanced prostate cancer that has stopped responding to other types of hormone therapy. The National Institute for Health and Care Excellence (NICE) is currently deciding whether to make it available for men who have just been diagnosed with advanced prostate cancer.

Before you start treatment

Before you start any treatment, make sure you have all the information you need. It’s important to think about how you would cope with the possible side effects. Speak to your doctor or nurse about this. It can help to write down any questions you want to ask at your next appointment. It may also help to take someone with you, such as your partner, a family member or friend. It can also help to write down or record what’s said to help you remember it. You have the right to record your appointment because it’s your personal data. You could use your phone or another recording device to do this. Let your doctor or nurse know why you are doing this, as not everyone is comfortable being recorded.

If you have any questions, speak to our Specialist Nurses.

If you don’t have any symptoms and want to avoid or delay treatment and its side effects, you might be able to have your cancer monitored instead. This is known as watchful waiting. It isn’t usually recommended for men with advanced prostate cancer, because it won’t control the cancer and it won’t stop the cancer from growing or spreading. Your doctor or nurse can help you think about the advantages and disadvantages.

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Can I be a father at 35?

While certain risks may rise with age, men continue to produce sperm throughout their lives and can father healthy children into old age.

webmd.com - The Risks of Becoming a Dad Later in Life - WebMD

Over the last 4 decades, the number of men older than 40 who father a child has more than doubled. But only recently have researchers begun to explore what impact a dad's age may have on his unborn children. A study published in the journal BMJ in October 2018 found that children of men ages 45 to 54 have a 14% higher risk of premature birth and low birth weight, compared with those fathered by men ages 25 to 34. Early births make children more vulnerable to long-term physical and mental health problems, while low birth weight may require a stay in the hospital's newborn intensive care unit. Previous research has suggested that a dad's older age boosts the risk of miscarriage as well as his child's chances of having autism and schizophrenia. What explains the link between a man's age and the health of his children? Michael Eisenberg, MD, the BMJ study's lead author and an associate professor of urology at the Stanford University School of Medicine, offers two possibilities: DNA mutations that accumulate as men age, and harms that may result from obesity, poor diet, lack of exercise, and other things. "Those could potentially put a pregnancy at risk," says Eisenberg, "but we don't know for certain at this point."

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