What causes sore nipples on a male in prostate cancer treatment?

There is no reason to see a radiologist every six months. I’ve not seeing my radiologists even once after having been treated with salvage radiation or SBRT radiation on metastasis. They have no need to see you. Is it possible they are running a study and that is why they want to meet with you.

If your PSA remains undetectable, then meeting them is Quite unusual.

I have an oncologist that directs my treatment and I meet with her through video conferencing every four months. I may never need to see that radiation oncologist again,

Thanks I will question my radiologist to convince me I need to see him , but wonder if my tender nipples is from past treatment

I had LARP six years ago. After 3 years and clean pet scan given the ok to supplement my testosterone. Supplementing your testosterone requires you keep an eye on your estrogen levels. Testosterone is converted into estradiol. Increased estrogen for me causes my nipples to be sore. I have not taken any medications such as Lupron but I might think there could be a correlation. In any case a hormone checkup may be in order.

After 6 years on Orgovyx and PET scans etc, my doctor decided to give me a “vacation” from Orgovyx. It’s been about 4 months clean but now I’m experiencing painful nipples. Anyone else have this side effect.

Get your testosterone checked. Once it returns to above 200 that problem should probably go away. This is not a problem. I’ve heard other people complain about it.

What other drugs are you on? Estrogen could do this.

@graybeard46
What other medications are you on? Many medications cause nipple sensitivity and pain. I had one medication prescribed by heart failure doctor and I had every side affect listed. One of them was nipple pain. They changed my medication and solved it.

Talk to your radiologist of why wanting to see you. He is your professional medical expert and you need to know why if that is a concern for you. For me I would prefer a medical professional who wanted to continue seeing me.

Thank you

I just started on ADT (Orgovyx) and have not yet experienced painful nipples, but I did experience the problem as a distance runner wearing a hydration vest that chafed against my nipples. (One time, never again!) Solution: Nexcare makes a 1.25-inch wide rubberized tape that I place in an "X" over each nipple, after shaving a small area around them to ensure adhesion. The tape adheres well, removes easily, and is thick enough to make your nipples unaware of anything going on around them. Problem solved - for me, at least.

Don't complain too much or you're going to be getting a mammogram like I did. Of course, my comment is somewhat 'tongue in cheek' since you might actually need one, however, my technician was determined to get some breast matter into her machine and that pain was pretty intense. Also, sitting with the ladies waiting to be tested is not my thing...despite what my wife said, I think they were all looking at me.

@seasuite I don't know if this exactly addresses your concern since I'm on a year+ vacation from Lupron rather than Orgovyx, but after maybe(?) 5 or 6 months off the Lupron, my left nipple became painful when bumped against anything or even rubbed against clothing. Recently, I noticed that problem has disappeared, but has surfaced less commonly regarding the right nipple. I *was* wondering about breast cancer, but at the moment I'm thinking it's not something to worry about. I will certainly ask my oncologist his thoughts when I'm back there, though.