15 August 2021: 18 months after surgery, my prostate cancer ED recovery is like our late winter weather: unsettled, hopeful, up and down. For the last month or two I thought my erectile dysfunction was over but it’s not so solid after all. Here are some notes from the wobbly zone in my recovery roadmap. First the hopes from a month ago, then the wobbles, and finally where I turn to for emotional and spiritual resilience.

Maybe my ED is over?

My journal entry for 16 July 2021 was as follows:

I don’t really have serious ED any more. I get rock hard nocturnal erections again and in that half-awake state it felt like they “locked in” effortlessly. Something I haven’t had for 17 months. Recently I could stay hard for nearly ten minutes of penetrative sex. Self pleasuring has been feeling easy.

I had to write all this down because I still don’t feel over the ED. It is all so uncertain and unreliable. The journal helps me be a bit more honest with myself.

Recovery: my sketch graph up to mid-July

That’s how I felt a month ago. And I want to celebrate some of my past milestones:

Also my gratitude for some amazing and deeply moving family connections and transformations over the last month. These have spanned generations, family lines and continents. They have taken up far more attention than my prostate cancer recovery, and are likely more important.

Fading, fluctuating, a bit more rubbery

After all that optimism about my prostate cancer ED recovery a month ago I’ve run the gamut of possible outcomes. From feeling old-style horny like a young man, to feeling distinctly droopy and withdrawn. Sometimes my old friend is making my underwear feel tight. And other times he feels rubbery and impervious to attention. It’s a lot like our southern hemisphere August highveld weather: late winter, blustery winds, icy cold one day and warm and promising the next.

Ringing in my ears are the angry voices of so many men I meet on prostate cancer support groups. “I was butchered” screams one. “I’ve lost my manhood – and my wife – forever” moans another. “My man no longer even looks at me with love, let alone touching me” weeps an abandoned partner.

The fear sometimes rises in me. Maybe I won’t get any better than this. For the last month I have actually gotten worse.

Although even at the worst times, I am pretty confident my wife and I can continue loving each other as our bodies change. Nonetheless, it’s 18 months since my radical prostatectomy and that 2-year recovery limit feels scarily close. Maybe the experts are a bit glib when they say “nearly all men … will see a substantial improvement

Perhaps these are the hardest yards – being a year and a half into “recovery” but still being deeply uncertain about what kind of life and body I am recovering into.

Friends and nature give wisdom and support

Yesterday my mood sank after my lovely weekly pottery class. What seemed to help is to acknowledge the power of that low mood, and stay with it till it is over. I am planning a dinner with friends this weekend and preparing for that gives me a lift. Spending time outdoors helps me feel the support and resilience of the trees and the sky.

Photo by Isaac Chou on Unsplash

Wild geese fly across the page of my journal as I write these words. And I am grateful for the energy that springs up in me after I acknowledge my despair.