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PSA Nadir is main deciding factor when one can start on Intermittent H
Prostate Cancer | Last Active: 7 minutes ago | Replies (9)Comment receiving replies
The length of time you stay on ADT (Orgovyx) is pretty dependent on your Gleason score.
If you were Gleason 8 then 18 months is recommended. If you are a Gleason nine or 10, then 24 months is recommended. Gleason 7 then 6 months.
You’ve been on Orgovyx Longer than someone with a Gleason seven would need to be on it. You can discuss this with your doctor. Some doctors let people stop ADT if they’ve been Undetectable for a long time and didn’t have other issues that could cause reoccurrence.
Did you have a decipher score? That could also be a factor in deciding how long you should take ADT.
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I was Gleason 9(4+5) and decipher score 0.98
My Radiation oncologist (Amar Kishan) says 1 year, my oncologist at UCI says 18 months, but Dr Scholz of PCRI says, I should take a holiday from ADT, as I get very little benefit by continuing on ADT, sacrificing quality of life. Dr Scholz told me that I can stop when I was on ADT for only 9 months and PSA was 0.06. My oncologist at UCI says even if my PSA is ZERO, I should stay on ADT for 18 months, if I can tolerate it. He says cancer cells are not dead; they are just sleeping and can wake up when you stop ADT too early. Dr Scholz says, I go back on ADT if that happens.
I am getting an MRI on April 8th, per Dr Kishan's recommendation.
For now, I will stay on ADT. I will post it here my MRI results.