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My PSA is 5.3, Gleason (3+4) 7 and Decipher .61. Do I need ADT?

Prostate Cancer | Last Active: Jun 23 10:19pm | Replies (19)
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@robertmizek

Hi. Welcome to our community. I’m a layperson, not a doctor so any comments I share are solely based upon my personal experience and not medical advice.

ADT (and radiation) isn’t typically included in the standard of care for favorable Gleason 7. If you have RP and the pathology shows more serious disease, extracapular extension, positive margin, or seminal involvement, your surgeon might want to include ADT and possibly RT.

Best wishes for good health and a successful journey with PCa.

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Replies to "Hi. Welcome to our community. I’m a layperson, not a doctor so any comments I share..."
gently | @gently | May 17 9:08pm

okiedokie555,
ADT stops the tumor from growing, and often shrinks the tumor. Because you are intermediate decipher, I suspect your medical provider will recommend it. ADT does increase the %age of men who survive and the %age of those who survive metastasis free.
It had been considered that two month before treatment was ideal. But the thinking seems to be shifting as not much advantage is seen for pretreatment ADT. The advantage is during and after even in low risk patients. https://www.youtube.com/watch?v=Fop3b61o2qw The ADT results are about 3/4 of the way into the video.
If you have large tumor(s) or if they are near nerve bundles, it may be additionally advantageous to protect the lower nervous system . It' s a tough decision.
If you do decide to take it, consider the pill orgovyx instead of the injection. And check into low dose Cialis. Cialis is thought by some to protect the blood supply to the nerves and thereby protect the nerves during treatment. Bless you choice.

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