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ADT vs. Estradiol

Prostate Cancer | Last Active: Jun 19 12:57am | Replies (17)

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@kujhawk1978

Hmmm.

Did the surgeon go on to explain why?

Besides the PATCH trial, I recall, albeit with a 69 year old mind literature on studies and use here in the US.

I hold my medical team to the same standards I hold myself when it comes to discuss treatment options, what's your reasoning and supporting "literature (aka, research) supporting that.

From my foxhole, making a statement like you describe is reason in my mind to say, hmmm, would I go with this person as a member if my medical team? The answer, likely not.

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Replies to "Hmmm. Did the surgeon go on to explain why? Besides the PATCH trial, I recall, albeit..."

A friend, during his consult at Sloan Kettering, asked about the estradiol patch. The RO snapped, “We don’t use that!” When asked why he got the same answer.
We all know that these institutions have protocols - a very well defined set of treatments which only use certain drugs, specific types of radiation or combos of them.
We are mere data points in a graph, outcomes to be fed into an algo. No one is getting the ‘individual treatment designed specifically for you!’ as all the ads and promos assert.
It is rare to find a doctor stepping out of the box and prescribing estrogen or estradiol, unfortunately.
My own RO, whom I really like and trust, told me that he is on an advisory panel (and probably gets compensation) to study the efficacy of Orgovyx. No way he is giving you the patch!☹️

No, unfortunately the surgeon did not elaborate on why he believed estradiol was no longer
used for this purpose. It puzzled me a bit and I didn't attempt to challenge him because I was waiting to ask my own question on another issue.