← Return to Anyone get PSA Test Angst days before that post-treatment PSA test?

Discussion
Comment receiving replies
Profile picture for capatov @capatov

@capatov just got new six months post IMRT + HDR + six months ADT Orgovyx treatment.

My new PSA is at .1 but testosterone is only 158. I think I should be very encouraged at the PSA but my testosterone seems very low?

Jump to this post


Replies to "@capatov just got new six months post IMRT + HDR + six months ADT Orgovyx treatment...."

@capatov

It is likely your testosterone will rise higher soon. Here are the results of a study.

Overall, 74 of the 137 men in the relugolix (Orgovyx) cohort recovered to testosterone >280 ng/dl, with a median time to recovery of 86.0 days

You can read the whole thing here
https://www.sciencedirect.com/science/article/pii/S2588931123002900

@capatov From your post 6 months ago: "Learned Something New Last Week,
@capatov, Jul 29, 2025. While meeting with my NP 3 months post IMRT and HDR treatment for Gleeson 4 +3, PSA 7.1 I learned something new. When I asked if my 3 months post-treatment PSA going from 7.1 to 0.04 could be largely due to the fact that I was on my last week of 6 months Orgovyx/ADA therapy vs. the impact of the radiation. ..."
and yesterday's update of "new PSA is at .1 but testosterone is only 158. I think I should be very encouraged at the PSA but my testosterone seems very low?"
Based on your experience, I confirm what my RO told me last October when my PSA was 0.22 "six months post-SBRT /6 months of Orgovyx." She prepped my mind with the possibility of PSA getting higher than 0.22 this month of January 2026 when I will have my next blood draw, about 9 months post-SBRT and 3-1/2 months off Orgovyx -- woul;d be normal as long as the PSA rise correlates/can be explained by a corresponding increase in T. Your concern of "T only 158" is the opposite of what I like, to be lower than that so that my PSA 0.22 won't rise too much before it would start going down again until becoming undetectable two or three years post-SBRT.
You were already undetectable July or earlier a year ago, I think that was super-excellent compared to mine. I hope your PSA will stay well below 2.0 post-treatment and then back to undetectable again. Wishing you the best.