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Testosterone recovery after ADT

Prostate Cancer | Last Active: Oct 26 1:21pm | Replies (26)

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@jeffmarc

I don’t think most people have to regulate it, when yours comes back, I doubt it will be above 600. Even if it is above 400 though you should be getting regular PSA test to make sure it doesn’t come back. I was hearing from a guy two weeks ago who was talking about the fact that he took a couple of vacations from ADT and he now has multiple metastasis throughout his body. He was a Gleason nine, so Gleason is a factor, but even with a lower Gleason score, you need to be careful.

I suspect if you took monthly test for six or nine months and then went to bimonthly and then every quarter you could feel comfortable that it’s being watched for recurrence.

See what your doctor has to say, hopefully you have an informed oncologist you are working with.

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Replies to "I don’t think most people have to regulate it, when yours comes back, I doubt it..."

Yes, ADT ends soon and then the plan is quarterly PSA tests for two years, then twice a year for three years, then once a year after that, assuming it doesn't come back. My oncologist told me the stats show 80% chance of being BCR-free after five years and 70% after 10. However, I think the odds are actually higher because some people die of other things during that time period so aren't counted in the stats. Still, if I can get even a few years without having to go back on ADT it will be a win.