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Do you regret having had a prostatectomy vs. radiation, or vice-versa?
Prostate Cancer | Last Active: Aug 18, 2025 | Replies (64)Comment receiving replies
I would have still done radiation but would have skipped ADT and taken my chances. I was only on it for six months but now it's a full year later and I'm still having problems and side effects from my testosterone not returning. That's the single thing that makes me angry about the whole experience--I was given minimal information about ADT (you'll have tiredness and hot flashes is all I was told). I suppose part of it is my own fault for trusting my doctor without doing additional research on my own. I was a G7 4+3. In terms of PSA, radiation has knocked it down to .04 which I'm told is good.
Replies to "I would have still done radiation but would have skipped ADT and taken my chances. I..."
For what it is worth. I'm 4+3, trying to get IRE. I fully intend to go back on TRT when I am cancer free. I found it because under TRT i was getting PSA checked quarterly. I quit TRT for now of course, and my testosterone is down to 18 from 450. Highest PSA 6.5, now that I'm at 18, PSA is .84.
The point of the article is IF and ONLY IF, you have low T, getting back to normal has no effect on cancer or recurrence. My Urologist said this, when I asked him if I could back on TRT. He said, sure, I treat patients with normal T levels all the time!
Testo Replacement and PCa Article 4-29-25 (Testo-Replacement-and-PCa-Article-4-29-25.pdf)
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It’s going on 3 years since I had radiation and 3 shots of ADT. And I’m still having serious side effects from the ADT. All things I was never informed about. I have brain fog, low T, developed afib and bone density loss. But my psa is low. And while my libido was still there, recently it has tanked and all that is left is a mushroom cap. Even pissing has become a challenge, either sit down or physically grab and guide the stream, otherwise it’s all over myself. I have to see another doctor to see if I can go on testosterone to at least feel better. So much is not discussed or explained, and trying to find out, the questions are blown off. Yet, looking up side effects of ADT mention all the side effects. Before treatment, I had none of them, yet now I have to deal with them and try to find relief. The hardest part is trying to get “outsiders” to understand what I’m dealing with and how it affects me. I know that I certainly don’t feel like a man anymore. Eunuch anyone. Chemical castrastion certainly fits.