@surftohealth88

Interesting...

So, a PSA of .03 is predictive of BCR around 18 months later.

In my case yes, it can.

The question remains, what is one's trigger for initiating treatment?

For me and my medical team, our criteria remains:

Three or more PSA tests spaced three months apart

AND/OR

PSA between .5-1.0

As I've said, those criteria ensure care acting in a trend, not a blip, and gives us a reasonable chance of imaging finding it thus informing a treatment decision. We do not feel it entails any risk in my PCa becoming unmanageable with definitive treatment.

It's hard making a treatment decision, guidelines, clinical trials, clinical data, choices - when, with what, for how long, de-intensification...

Kevin

My PSA is .03 now and has been for just about two years. My oncologist says my PSA is stable...

Will I see yet another recurrence, likely, given my clinical history and data, I am not cured.

So, my statement may have been too generalized, but I think my point holds true, exercise discretion about when to initiate treatment.

I've been off treatment for two years with a stable PSA of .03, hot flashes, fatigue, muscle and joint stiffness gone, weight back down, genitalia back to "normal...