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PSA Nadir is main deciding factor when one can start on Intermittent H
Prostate Cancer | Last Active: 40 minutes ago | Replies (11)Comment receiving replies
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.
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I was gleason 10. I had 45 Radiation and 18 months Orgovyx. My Dr had initially wanted 24 months. My PSA had dropped to .04 at the end of radiation, and stayed there for the next 12 months . At 18 months on Orgovyx it was decided to try a holiday, that was March of 2024. By September my psa had gone to 1.5, by Oct 24 to 2.5. I went back on Orgovyx and had a PSMA scan. It showed lesions on my spine, rib, femur. I am now on Orleada and Orgovyx. Just finished cyberknife on my rib and spine, still have the radiation coming up on my arm. Not sure if a longer stay on Orgovyx would have changed anything, but what I have now is a much bigger struggle than just being on Orgovyx.