My Urologist was quite upset when another MD ordered a PSA that had a result of 14.6. The results found their way to his desk and he called me in saying that now he 'had' to do something about it. I was 88 at the time.
A few months later, at 89, I had an MRI, biopsy, and PSMA, the latter indicating that the cancer was contained in the prostate. My Gleason was 4 + 3, as the MRI, and follow-up biopsy confirmed the presence of cancer.
Because of my age, the Urologist recommended that I do an 18 month course of ADT which included 1 month of Casodex tablets, and my first injection of Lupron D. I am on the time release 3-month Injection cycle, and at age 90, had my 3rd one on Valentine's Day.
My PSA has dropped to .03 after 6 months of treatment, and was .05 after the first 3 months. The MD wants it to be undetectable.
Side effects were hard to take during the first 2.5 months with hot flashes, muscle weakness, weight gain, and no energy/fatigue. The only remaining one is a 6:30a hot flash, the others having dissipated.
I do my best to stay active walking 2-3 miles each morning and watching my diet.
Other that the Urologist's disdain, I am pleased with how treatment is progress thus far.