Not trying to be cute, but cope with what? Impotence? Occasional, always?
Low libido? Physical problems such as Peyronie's Syndrome? What has
Larry already done to cope?

Also: what is Larry's overall and PCa medical status?

These are important questions. The more information at hand, the better
the answers.

Regards,

Steve J

Hello Larry,
   Coping with life ...........
   Coping with Prostate cancer.
   Coping with the fact that you may leak like a sieve and never get an
erection....

We have good ideas, and ways to cope with all the above aspects.....
Believe me.  I would rather die coping with, than die not trying.

Try your best, get several Dr. opinions, do not go for the fix me
today......
Take your lab work etc. to other Dr.s
Anyway, I am talking to a wall/
We need to know more...Then we can help, in our little ways.
John Loomis
I do wish you the best...We do have ideas....

I presume you haven't been treated yet, and either have chosen a
treatment and are wondering what to expect, or are trying to decide
which treatment to chose in light of side effects on sexuality.

Here's the bad news:  no matter which treatment you chose, your sexual
function will NOT be and will NEVER be the same as it was before.
Everybody's experience is subjective, but I think an honest assessment
is that it will at least be less pleasurable in most respects than
before, likely a lot less.  

I don't get patients who say things like orgasms are "as good as" or
"better than" before.  It does not make physiological sense.  You will
have no ejaculate fluid, in the case of RP, or diminished, in the case
of radiation, and your erections will be less intense in either case.
Viagra and the other pills will either work with ED or not, but it
won't give you any juice.  

To reiterate:  not necessarily NO sex life; necessarily DIFFERNT sex
life; damned good chance DIMINSHED sex life.

My oft repeated advice is the be pessimistic, because it's better to
be pleasantly surprised than profoundly disappointed.

Here's the good news:  You will be alive and odds are cured of cancer
(assuming prospects good going in).  You will adjust to the new you.
People are resilient. You and your partner will figure out new ways of
being intimate.  You will find other things to interest you and occupy
your time.  Out of sight, out of mind.

Nothing you can do but do what you gotta do and move on.

Good luck.

I guess the best I can say is to keep busy, focus on the positive, and do
not dwell on what you have lost.  There is life when the erections are gone,
and there are ways to deal with ED.   Alternatives include the vacuum pump
(effective, no drugs and you pay for it once), MUSE, Caverject, Trimix
injections, the pills (Viagra, etc.), and ultimately the implant.  Many men
report being happy with the implant, and at least in my area the Blue Cross
will pay for that surgery for RP patients.

The downside, as one of the others stated, is that the sexual experience
will not be the same, at least it is not for me.  But I appear to be rid of
the cancer, that is the tradeoff.  And don't forget that there is more to
sexual intimacy than coitus, so all the pleasure is not gone, and there is
always oral sex to satisfy your partner.

Good luck to you.