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← Return to Taking Orgovyx long term
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I want my testosterone to return while keeping my PSA low in order to have returning strength with a more normal quality of life. I won't know whether the cancer has been eliminated until I stop ADT or my PSA starts rising regardless, indicating castrate resistance and the time to begin using or adding Darolutamide. Or am I missing something?
Replies to "I want my testosterone to return while keeping my PSA low in order to have returning..."
Lymph node cancer is not the same as prostate cancer and doesn’t live on testosterone.
Yes, you can stop ADT, But if your PSA has not stayed undetectable for at least six months, you may not be pleased with the results in a few months. You don’t mention your Gleeson score and that is a real factor. If it’s a seven and yes, six months undetectable should be fine if it’s an eight or a nine that may not be enough time.
You can always stop ADT for a few months to see what happens and if your PSA rises along with your testosterone, you can start back on Orgovyx.
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Understandable, and that's a very personal choice. We all have to balance quality and quantity of life.
I've lost track of your situation, but if your cancer is already metastatic, taking ADT together with one of the -lutamides now is more effective than waiting to add a -lutamide later (per TITAN, etc).
If your cancer becomes castrate-resistant, you still have good treatment options these days, but they can be tougher than just taking ADT and a -lutamide, so the longer you can delay castrate resistance, the better.
Best of luck, whatever you choose.