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Weighing the cancer risk reduction & quality-of-life cost of ADT?

Prostate Cancer | Last Active: Feb 13 5:00pm | Replies (123)
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@soli

Hi Soli, thanks for the update. As I stated before, it would have been very unlikely for doctor to suggest adjuvant when PSA is undetectable. It is just not the standard of care and can cause side effects that are more pronounced than with salvage.
MO that we consulted told us that if we wish to be extra proactive PSA of 0.05 would possibly be a "trigger point" for planing early salvage and doing it before or close to 0.1, IF it starts happening soon or if thee is a fast doubling time (God forbid).

Try now to concentrate on healing and relaxing, exercise and correct diet : ). We were told by our doctor to stay away from animal products and we will follow that advice.

Wishing you zero BCR in 30 years !!!

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Replies to "@soli Hi Soli, thanks for the update. As I stated before, it would have been very..."
soli | @soli | Nov 11, 2025

Thanks @surftohealth88

Actually the 2025 NCCN guidelines offers two alterantive options for high risk folks like me (based on both patholgical and genomic factors): adjuvantt radiation therapy within 6 month to a year of the surgery, or EARLY salvage radiation treatment if a relatively low PSA threshold is reached. I was expecting my surgeon to propose adjuvant radiation soon, but he surprided me by proposing EARLY salavage radiation if and when the PSA creeps up. We went through the pros and cons of each approach, and we settled on approach similar to your hubbies.

I too wish your hubbie zero BCR in 30 years.

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