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← Return to PSA undetectable but testosterone remains negligible
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PSA undetectable but testosterone remains negligible
Prostate Cancer | Last Active: 2 days ago | Replies (28)Comment receiving replies
At age 84 my testosterone has only recovered to 118 after 12 months or about 40% of the 282 before ADT treatment. I continue to have severe headaches, bone and muscle aching, and hot and cold flashes. From all I have read, total recovery is very unlikely for me because of my age and very low pretreatment testosterone level. I only had 4 months of the prescribed 18 months of Lupron ADT because of very severe side effects. I also had heart bypass surgery 19 years ago. I know that low testosterone causes damage to the heart, bones, and muscles. In a week I will be seeing my urologist and will ask him for testosterone replacement therapy. He has already told me that he does not do TRT so we may have to part ways. Any advice on a good TRT treatment and possibly a new urologist in the Oak Ridge or Knoxville, TN area?
Replies to "@brianjarvis At age 84 my testosterone has only recovered to 118 after 12 months or about..."
@pesquallie Have no references for you; however, if you have not seen an increase in your PSA with the testosterone increase to 118 (far above castrate levels even if far below normal) TRT that gets you back to low normal (300-400) is not going to increase the risk much. Should still have frequent monitoring with PSA tests every few months.
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@pesquallie I have not looked into TRT, though I suspect they/you would want some certainty (or at least confidence) that the prostate cancer is gone before trying that. You’ll want to monitor your PSA very closely.