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11 anniversaries since diagnosis of stage 4 prostate cancer
Prostate Cancer | Last Active: Sep 2, 2024 | Replies (113)Comment receiving replies
I'm in my fifth year of prostate cancer, testosterone suppression no longer works. What type of treatment are you using?
Replies to "I'm in my fifth year of prostate cancer, testosterone suppression no longer works. What type of..."
might be a question for another thread. Is testosterone suppression really the culprit. Maybe the level of the cancer you throw anything at it? Dumb question?
Hi potbelly1957, I have been using ADT and bicalutamide since completing pelvic IMRT in 2014 (high dose: prostate, adjacent tissues, lymph nodes, bones). Please note the hormone therapy I'm on is very outdated today. When I started it, 2nd generation antiandrogens were not available and abiraterone was approved only for castration resistant disease. My oncologist just feels there's no compelling reason to switch to one of the newer drugs (reserved for the next step if my PSA rises).
What treatment were you on? Have your oncologist discussed with you about enzalutamide, arbiraterone, or radiopharmaceuticals?
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I'm so sorry to hear that.
Are you on an ARSI (like Erleada or Xtandi) in addition to the traditional ADT (like Firmagon, Lupron, or Orgovyx), or is that contraindicated for your health situation?
ARSI's have been the hero treatment of the past 5+ years, significantly extending the effective period of ADT, but obviously they're not 100%.
In any case, my onco team told me there are many more treatment options available if ADT and ARSIs start becoming less effective, so I hope things turn out well for you.