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How long have you been on Orgovyx (relugolix)?
Prostate Cancer | Last Active: Jan 9 12:02pm | Replies (44)Comment receiving replies
@brianjarvis
PMSA was done 2 years after prostate removal. No signs of cancer. I was on Orgovyx for about one year after PSA climbed to .9. Orgovyx drove it down to < .01. They don’t have any drug to kill the cancer. I can’t have radiation. So only remedy at this point is suppress disease.
Replies to "@brianjarvis PMSA was done 2 years after prostate removal. No signs of cancer. I was on..."
I thought a PSA of 0.9 was quite low and not an issue. Natural PSA is around 1.0 without cancer.
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@rnpalarino1 With PSA rising following prostatectomy (indicating likely recurrence), but PSMA showed no signs of cancer either (1) the PSMA PET scan missed it (at a PSA of 0.9, PSMA will miss prostate cancers ~30% of the time), or (2) your prostate cancer is PSMA negative, in which case a PSMA PET scan will never see the cancer.
Note that while you’re on ADT (and your PSA is being suppressed), the PSMA PET scan won’t be able to see the prostate cancers.
If your prostate cancer is PSMA positive, either Pluvicto (Lutetium-177) or Xofigo (Radium-223) might kill the cancer (depending on where it is).
If your prostate cancer is PSMA negative, an Axumin (F18-Fluciclovine) PET CT scan might see the prostate cancer that the PSMA PET scan can’t.
You might consider discussing this with your doctor rather than remaining only on hormone therapy.