← Return to Stage 4, Hormone Therapy-Resistant: What happens after Chemotherapy?

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@proftom2

5 Years in. Year 1, Radiation, Chemo, Hormone, lots of scans. Years 2,3, PSA remained below 2. Year 4 PSA started a slow upward trend. Hormone resistance diagnosis became official on the 11th month of year 4. We start Pluvicto next month.

Side note. Year 1 was weekly and gradually became monthly oncology office visits. Years 2 to years 3.5 oncology office visits switched to every 3 months + labs. Which felt great. Now I am back on monthly labs and oncology office visits. Looking forward to starting Pluvicto. Honestly, when I started this aPC journey, back in my year 1 days, I never thought I'd make 5 years. Back to work; exercise, nutrition, mindfulness + oncology office visits.

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Replies to "5 Years in. Year 1, Radiation, Chemo, Hormone, lots of scans. Years 2,3, PSA remained below..."

Pluvicto only works really well for about 1/3 of people. It works OK for 1/3 and doesn’t work at all for 1/3.

One thing you should do is get a somatic genetic test on your tissue. Also a hereditary genetic test on yourself,, this one is free at prostatecancerpromise.Org

If you have the genetic problems of RB1 or PTEN then Pluvicto will not work well. If you have BRCA Then it normally works very well. It would be helpful to find this out before getting treatment.