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PSA (0.32) after salvage radiation unchanged from PSA before radiation
Prostate Cancer | Last Active: Sep 9 1:29pm | Replies (13)Comment receiving replies
Good for you! NO ONE ( not even your spouse) can understand the anxiety associated with this disease and the consequences of whatever treatment you choose. Sure, none of us wants to lose what makes us men, gain weight, grow boobs, ugh!!! But the alternative is far worse so you gotta do what you gotta do, cover all the mirrors, wear Members Only velour tracksuits….I’m Kidding!!!!
Get at least 2 more opinions before you decide and provide these Drs with as much info as you can Re: biopsy results, Decipher or other genetic tests, PET scans. You will then be able to make a decision that you are comfortable with - keep us posted as the more we all learn, the better!
AL
Replies to "Good for you! NO ONE ( not even your spouse) can understand the anxiety associated with..."
I came across your blog note here and you are so right . I am post RP by 3 years and 2 years Post EBRT, ...after 22 sessions of EBRT ( External Beam Radiation Therapy) and no other drugs like ADT and so on . RO said I did not need it . I asked him 3 times ! Gleason was 3+4 originally . Im 61 now. Hike everyday for at least 8-10 km's...swim and sauna as well. My PSa since EBRT went from 0.14 , then to 0.072 , last time was 0.056 . Im due for PSA in 2 weeks . Lord , I am full of anxiety ! Cant sleep right . Wife is very supportive , BUT .... Yes, I know my PSA is relatively low , and the trend is my friend here . My father died of Protate Cancer . I was his caregiver . I was there for his horrible death . Man , this PC has consumed my life ! Any ideas ? James on Vancouver Island .
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Hello,
I did nort hear any specific mention of “TRT” or other hormonal treatments regarding your salvage surgery and or radiation treatment. Prior to my Prostate Cancer diagnosis in August of 2022, I had been on “TRT” for about 11-12 years. I had to immediately discontinue my “TRT” to prepare for my “RALP” on 10/25/22. Due to my level of HYPOGONADISM, I am practically medically castrated on my own as my Total Testosterone levels plummet to between 20-90!
Being off my “TRT” literally turned me in to a complete “Zombie” within several months and adversely affected every area of my life. After my successful “RALP” and a total elapsed time of 5 months to place before returning to my “TRT!” Within several weeks of rejoining my “TRT” I was feeling extraordinarily better and improved in every area of my life.
This is a very personal assessment and decision to include and or return to “TRT” following your Prostatectomy. Speaking for my self, I am already practically dead when discontinuing its use it. Secondly, it’s easy enough to track and monitor by getting your PSA, TESTOSTERONE, tests (total & free) every 2-3 months to consistently track any movements. My PSA the day after my surgery was < 0.014 and thankfully has remained exactly the same (undetectable level) since 10/25/22 through 1/28/24. Every patient is different and has to consider his comorbidity and other associated health conditions before deciding upon which course or combination of medical protocols to incorporate into his recovery efforts.
GODSPEED to you and everybody.
Best wishes always,
Phil