Hi  Seagram, and a warm welcome to the forum, though sorry to hear your partner has prostate cancer. You have both just had a cancer diagnosis thrust upon you and your emotions and thoughts will be difficult for a while, my suggestion would be to carry on as normal, I know there are not normal times,  but it's what most guys want, but his stats are very good, giving you both time to choose the right treatment for you, active surveillance is good as long as he's intermediate risk, I too have prostate cancer and like you I am very open, but most guys aren't, though give him a little time and he may open up. Your right about side effects nobody wants them, but not everyone gets them, most are manageable and NOT permanent, can I ask you, have you discussed SBRT with your oncologist, usually comes with fewer side effects, best wishes to you both.

Eddie 

Thank you Eddie,  I really appreciate your reply.  He has spoken with the team at the hospital today and he is going to see what the next couple of months PSA tests show.  He is having another in January and has a follow up appointment booked, he has been told he can call them anytime.  Can I ask what SBRT is?  Apologies for the ignorance it’s all Very new to me but I’m learning loads.

i hope your managing your cancer well and are getting good care from your oncology team.

Seagram

Hi Seagram, no need to apologise, we all start off knowing very little, SBRT is a type of radiation therapy RT, for low to intermediate risk prostate cancer PCa, which as your partner has been offered active surveillance AS, his is. most guys with PCa get 20 fractions "treatments" of RT over 4 weeks as our cancer is a little more advanced so a wider area with a higher dose of radiation up to 73 gy "gy - guys is the unit radiation is measured by",is needed to be target the cancer and in the process a lot of healthy cells in the lower abdomen, bowel and bladder ect are unfortunately hit. SBRT uses much less radiation around 36 gy over up to 6 sessions, usually every other day so much less than 4 months and as SBRT can be targeted much more precisely damage to healthy tissue is greatly reduced, as are side effects. Not all cancer hospitals do this treatment, but you are allowed to change hospitals to one that does. best wishes

Eddie xx