Hot flushes, breast tenderness and breast enlargement

Many men who had had hormone treatment reported that they suffered from hot flushes. The National Institute for Health and Care Excellence (NICE) recommends medroxyprogesterone as the best treatment for hot flushes or if this is not effective cyproterone acetate or megestrol acetate. Some also said that they had experienced weight gain, breast enlargement, breast tenderness and mood changes. Many men found these symptoms uncomfortable and embarrassing. However, one man said that it was not always an unpleasant experience.

Describes the problems with hot flushes after hormone treatment.

Age at interview 49

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Describes the unpleasant symptoms of hot flushes.

Age at interview 61

Gender Male

Age at diagnosis 61

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States how embarrassed he is at the side effects of hormone treatment.

Age at interview 70

Gender Male

Age at diagnosis 66

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Describes the varying side effects after different treatments such as breast tenderness.

Age at interview 65

Gender Male

Age at diagnosis 59

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Comments that hot flushes can be a comfort on a cold day but could go as far as feeling faint.

Age at interview 66

Gender Male

Age at diagnosis 66

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Zoladex made David feel very tired. Casodex led to breast enlargement (gynecomastia) which was a…

Age at interview 61

Gender Male

Age at diagnosis 52

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Men who have had both testicles removed or are taking hormone therapy for prostate cancer are at risk of bone thinning (osteoporosis) due to the reduction of testosterone. A DEXA scan can be used to measure bone mineral density and see if bones have become weaker. Weaker bones can lead to an increase risk of bone fractures.

To protect bones a doctor may advise; calcium and vitamin D supplements, to stop smoking, reduce alcohol intake, and take regular weight bearing exercise such as; walking, light weight lifting or dancing.

If men having hormone therapy are diagnosed with osteoporosis they may be offered bisphosphonates or denosumab as a treatment to reduce bone thinning.

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