← Return to PSE Test for Prostate Cancer Before an MRI and for Re-Occurrence

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@jeffmarc

Whether it is safe to stop. ADT depends on your Gleason score. If it is seven, you can stop after six months if it is eight or higher, you need to go 18 months or more in order to make sure it doesn’t come back. That doesn’t even guarantee it won’t come back, but it does allow some people to go into remission.

You need a PSMA pet test to see if you have metastasis that have gone beyond Micro, you would probably have to do that after you stop taking the drugs because your PSA has to be higher than < .01. . You do have to realize that prostate cancer is in your bloodstream and will stay there. The best chance of getting rid of it is stay on ADT for the recommended time.

Having a PSA of seven after an RP, and not treating it with SR is almost malpractice. Sure you can keep the PSA down by putting you on ADT drugs, but that seven means you had something active that should’ve been treated. Doing that so late may leave you with a much higher chance of recurrence than had you been treated properly.

Six weeks after my RP my PSA was < .1 and stayed that way for 3 1/2 years. Then it started to rise and when it hit .2 they did SR. That is the standard treatment that is supposed to be given, and you were not given that

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Replies to "Whether it is safe to stop. ADT depends on your Gleason score. If it is seven,..."

Yes - I was being treated by a very reputable urology oncologist in Mexico City, but if I had known then what I know now, i would have had SR much sooner. I did have a PET/PSMA a few months before i started the Eligard and it showed no spread beyond the prostate bed. My surgery was nerve sparing and I suspect he left tissue there that contained cancer - that is purely a guess.