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cemezzina47 avatar

Post RT 6 years after RP with Rising PSA now at .28.

Prostate Cancer | Last Active: Oct 5 7:14pm | Replies (39)

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Profile picture for chippydoo @chippydoo

The GU I saw at a CCCenter said wait for PSA to get to 2 and then they can find the spot and treat it. This led to some interesting discussion on the thread. The cancer needs to be large enough for PSMA PET to see. I am undecided as to what I would do if I bounce again. Probably start with a GU at another facility. Currently 2 months post ADT with Orgovyx and 7 months post 25 sessions of radiation with my T @208. At my appointment it was stated that my T is high enough to trigger a psa response. My normal is 250. Back for testing in January.

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@chippydoo
If you have radiation as your primary treatment, the normal point at which they proceed is when your PSA hits 2 points above the minimum it ever hit.

If your PSA is actually rising while you’re on ADT, then you could become castrate resistant. That is highly unlikely as short of time as you’ve been on ADT.

If it’s not rising, then it’s a matter of how long it takes to hit the bottom Before you wait for that two point rise. You don’t mention what your PSA is and what it has been the last few times you’ve had it tested, Since it’s been seven months, have you had it tested twice? Has it gone down each time Its been tested?