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How fast does Orgovyx work to reduce PSA?

Prostate Cancer | Last Active: Sep 14 5:23pm | Replies (19)

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He had PSMA before surgery and two lymph nodes lit up so we knew about those and the surgeon removed those and also found another cancerous node in the bilateral dissection. We finally got the insurance company to cover a new PSMA PET and that is scheduled to happen in a little over a week. In the meanwhile he just began the Orgovyx. Also has been referred to a radiologist. We are under the care of UCLA Urology Oncology and they are great. Oncologist said start the Orgovyx now to stop any activity and we’ll get a more specific treatment plan after the PSMA PET. He referred to radiology to get things going. I’m sick with worry.

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Replies to "He had PSMA before surgery and two lymph nodes lit up so we knew about those..."

You are definitely at the right place. You didn’t mention the PSMA PET scan earlier, but it’s great to hear they’re doing it.

You really have to wait to see what they find with the pet scan.

One thing you didn’t mention is his Gleason score. That is a critical piece of information that tells us more about what treatments will work and how long they will work.

While it does sound like the rising PSA is a major problem. You have to realize that treatment these days can handle what you are seeing quite easily. This isn’t time to panic. There are so many treatments and you are just beginning what could be a very long progression Free survival. I know many people that have had very serious cases Of prostate cancer and are still around 10, 20 and even 30 years later. There are a lot of options, And medicine is coming out with new treatments pretty regularly.

Hopefully Nubeqa won’t cause any problems, it is much easier on the system than Erleada. I’ve been on it for 2 years now And after 15 years of prostate cancer and four reoccurrences, it has kept me undetectable for the last 22 months. I’ve noticed no side effects from it and I know a lot of other people on it, many of them in their 80s, and it works very well for almost everyone.

After the pet scan, they may decide to do salvage radiation, or they may decide that there are noticeable metastasis that they can zap with SBRT radiation. Doctors at recent conferences have said that they just wait for people new tumors to show up and zap them, and that lasts for a long time.