← Return to PSA (0.32) after salvage radiation unchanged from PSA before radiation

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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)
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@jaacm1

Can you further explain what you mean when you say “No ADT Will not disguise effectiveness of IMRT”? I recently completed 39 rounds of IMRT and six months of Orgovyx. My PSA scores are down from when I started these treatments. I’m trying to figure out if my lower PSA scores are driven by the Orgovyx (off for 3 weeks before the PSA test) Or the IMRT treatments (completed 12 weeks prior to the latest psa test). PSA was most recently 0.014. While disappointed that it wasn’t undetectable at the first test, I’m hopeful that the radiation treatment will, overtime, drive PSA down further.

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Replies to "Can you further explain what you mean when you say “No ADT Will not disguise effectiveness..."
michaelcharles | @michaelcharles | Sep 7 6:41am

My RO waited 6 mos post salvage radiation for my 1st PSA test.
37 IMRT treatments Mar - May 2023
Also 4 mos Orgovyx Feb - June 2023
1st post tx PSA Nov 2023 was undetectable < .02 (limit of uPSA testing at Quest)
So if mine was .014, it would have reported as undetectable.
Personally I think that your PSA is excellent and may continue lower.
That is the issue with the Ultrasensative PSA test: it drives us crazy at very low numbers
A Salvage Treatment friend is only being tested with regular PSA post tx and is " happily" < .1 "undetectable ".
Best wishes and try to smile. I do understand your concerns.

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