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

Discussion
Comment receiving replies
Profile picture for freddy9 @freddy9

15 months ago I had 20 rounds of radiation for the prostate and prostate bed, and about 3 months or more before that, I was put on an ADT regime using Lupron.
I have an appointment with my Radiation Oncologist next week follwing the last blood analysis which has indicated a rise in my PSA from .001 to .003. Unfortunately, I have been a bit timid (and unprepared) at appointments with my Urology Oncologist, who indicated the recent change while also mentioning a rise in testosterone. I can see the effects of that increase in my penis and scrotum. This clearly looks like resistance has set in.
I hope not to have to have more radiotherapy, and that a new ADT treatment option is available. We shall see.
If anyone has experienced this I would welcome hearing your story.
As for the side effects of ADT itself, I have found it to be challenging but manageable. It's manageable because I'm retired and can get out of bed when I'm ready. [Yes, fatigue has been a side effect that limits my physical activity. ] The hot flashes seem to vary from day to day, and I'm now trying to figure out whether my sugar and/or salt intake makes them more frequent. Thanks

Jump to this post


Replies to "15 months ago I had 20 rounds of radiation for the prostate and prostate bed, and..."

@freddy9
They rise from .001 to .003 can be ignored. I posted an NIH video that discussed the fact that people shouldn’t really be concerned with PSA rise until it hits at least .5. What you’re looking for is the doubling rate, And you can’t count doubling at such low numbers. This is definitely not time to be concerned.

A rise in testosterone can almost guarantee the PSA is going to go up a little, but it is not relevant..

Please take a look at this Message I posted and the video from the NIH that discusses the issues you are worried about.
https://connect.mayoclinic.org/discussion/are-castration-sensitive-pc-patients-being-over-treated/