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Considering Tulsa Pro or Proton radiation (full gland)
Prostate Cancer | Last Active: 15 hours ago | Replies (101)Comment receiving replies
@jeffmarc I really struggle with the hormone therapy I am 66 and healthy with a healthy sex life. Only been remarried 5 years. My wife is 9 years younger. I am afraid I will get depressed
Dr said the first 6 months of ADT during the radiation if critical. Maybe I just do 6 months of orgivyx. ??
I watched the PCRI about proton treatments and he said 1/3rd men do not take the recommended hormone treatment. I know it is risky but I can understand also. I pray my decipher comes back a 0.32 like last year but since this sample is the 3+5 )< 5% of the 5) vs the 3+4 last year I am not hopeful. I also don’t expect the second pathology review to change the Gleason 5.
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@jaygk
Definitely get Orgovyx, For no other reason than it allows, your testosterone to return more quickly within three months most men get a significant amount back. While on ADT, if you can use an estradiol patch, it can allow you to have the desire for sex and it will reduce your hot flashes and help with other things What you’re not all that relevant with only six months.
As I already mentioned, if you are a five and have a high decipher, it is really important to have it. If they are able to reduce that five to a four and your decipher is low than you could consider not doing it.
It might make sense for you to have your biopsy reviewed by an expert. The top guy in the country for doing biopsy reviews is Dr. Epstein. You can call him before having the Evaluation and you can call him after and he will talk with you and explain everything to you. It will cost $500 however Insurance usually does not cover it. This guy has seen hundreds of thousands of biopsies.
Another thing you might want to do if you’re not going to Send it to Epstein is find out if the pathologist Who does the second review of your biopsy is a specialist in prostate cancer. If they are not, then you are not having it reviewed by the right pathologist..
Dr. Epstein biopsy
https://advanceduropathology.com