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PSA - 17.1, are Lupron injections necessary?

Prostate Cancer | Last Active: Apr 11 7:23am | Replies (84)
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@michaelcharles

Q: what Drs and Specialties are recommending ADT? And why?
In 2000, my father was 80 with no medical problems. His PSA was tested (for no reason known to me) and was 11. He had a 12 core biopsy that had 1 hit (Gleason score not known). He chose "watchful waiting", and I never heard about prostate cancer again. He passed at almost 95 from "old age".
There are many questions about my Dad's situation that I have in retrospect, since my high risk Gleason 9 cancer was identified in 2022.
So my post may be "uninformed ".

Is his only "symptom" an elevated PSA. Why was a PSA performed on a healthy 79 yr old? Has it been repeated? Has a biopsy been considered and performed, and was any cancer found and what was the Gleason score? Again, who is treating him and is ADT the Dr's recommendation, and why?

FYI: I have had RP and am undergoing salvage radiation and hormone therapy presently, and generally believe in treatment.

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Replies to "Q: what Drs and Specialties are recommending ADT? And why? In 2000, my father was 80..."
yuliyalt | @yuliyalt | May 1, 2023

Thank you for your comment. Such an interesting case with your father... glad he lived a long live. Wishing all the best on your journey as well.
My grandfather got referred by his urologist and got diagnosed with prostate cancer in 2014.
That same year he had brachytherapy. Since then, we have been "watchfully waiting", testing and monitoring. When asked his doctor about his treatment, they recommended Lupron injections.
My question - does generally healthy 79 year old with low Gleason grade - 6 and slow rising PSA, now 16.9, with non-metastatic prostate cancer need Lupron injections (which has a whole slew of side effects and will make him weaker, amongst other things)? My preliminary research, revealed that Lupron injections are used for more aggressive, metastatic cancer. Trying to weigh in pros and cons of this treatment for my grandfather.
If not, Lupron injections, should any other treatment be considered in his case or continue with no treatment at all?

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