Testosterone Replacement Therapy after RALP

Posted by jeb0505 @jeb0505, Sep 16, 2024

I get so many mixed messages about Testosterone Replacement Therapy, i've read contradicting information from different clinics/hospitals, etc., so it's hard to know where to begin.

My question is for those who have spoken to their doctor about this, and especially for those who are now taking TRT after surgery. First- what has your doctor said about taking TRT after surgery, and Second - have you been given any alternatives to TRT?

My T level prior to finding out I had cancer was sub 300 ng/dL, when on Test, my levels were raised to about 700 to 800 ng/dL... Following my diagnosis, i stopped taking T, and i could definitely notice a change for the worse. After surgery, it's noticable worse. By me, my wife, even friends notice a change in "me"... I talked to my doc about it, and he suggested waiting for 'at least 1 year after surgery'... well, surgery was in May, and i am seriously dealing with side effects.

Any help from those who have had similar experiences, is appreciated.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

lgzzguy | @lgzzguy | 2 days ago

In reply to @jerryegge "Testosterone is a prostate cancer fertilizer." + (show)

@jerryegge not a smart "generalization"...........in fact, your assertion is largely inaccurate. True for recurrent PC that androgyn deprivation therapy is a protocol of choice HOWEVER, for men with low T a number of years after RP, there is zero evidence to show that controlled TRT has any effect on the increase of return of PC. Numerous studies show nothing and some show that the TRT group actually has a LOWER incidence of the return of PC

jeff Marchi | @jeffmarc | 2 days ago

In reply to @lgzzguy "@jerryegge not a smart "generalization"...........in fact, your assertion is largely inaccurate. True for recurrent PC that..." + (show)

@lgzzguy
While this is true for people that have no further sign of prostate cancer, for people that have active or metastatic prostate cancer testosterone can cause the cancer to grow. That’s why many doctors will not recommend testosterone treatment for those that have had serious cases.