First PSA check after starting Firmagon

Posted by johndavis60 @johndavis60, 3 days ago

Getting my blood drawn tomorrow. Will be the first PSA check after starting firmagon on Aug 6, 2025. Last psa after prostatectomy was 2.6, which was not unexpected due to positive margins. I am however very nervous that the Firmagon wont work. What should my expectations be for tomorrow’s psa check? I don’t expect undetectable, but I hope a lot lower than 2.6. Thanks!!

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John I will be thinking of you and will keep my fingers crossed for undetectable PSA 🍀🍀🍀🤗 !!!When will you get results back ?

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Firmagon is fine for getting your first shot of ADT. Getting it in your stomach over and over is a real pain in the neck and not necessary.

After the first month of Firmagon, you can move onto Lupron or even The daily Orgovyx Pill. Tell your doctor you don’t want that Firmagon shot you want another option. The urologist like to continue to give you that because they make a lot of money giving it every month. The Lupron shot can be given every three or six months.
I had the six month shot for almost 6 years, Had no side effects ever from the shot itself unless I was pressed right into the spot where they gave it the day I got it, It could be slightly sore.

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Profile picture for surftohealth88 @surftohealth88

John I will be thinking of you and will keep my fingers crossed for undetectable PSA 🍀🍀🍀🤗 !!!When will you get results back ?

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Thanks Surfer! Probably tomorrow afternoon.

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Profile picture for jeff Marchi @jeffmarc

Firmagon is fine for getting your first shot of ADT. Getting it in your stomach over and over is a real pain in the neck and not necessary.

After the first month of Firmagon, you can move onto Lupron or even The daily Orgovyx Pill. Tell your doctor you don’t want that Firmagon shot you want another option. The urologist like to continue to give you that because they make a lot of money giving it every month. The Lupron shot can be given every three or six months.
I had the six month shot for almost 6 years, Had no side effects ever from the shot itself unless I was pressed right into the spot where they gave it the day I got it, It could be slightly sore.

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Thanks Jeff, I’ll talk to my MO about that but in the short term I just want something, anything to go right 🙂

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Profile picture for johndavis60 @johndavis60

Thanks Jeff, I’ll talk to my MO about that but in the short term I just want something, anything to go right 🙂

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All other types of ADT works the same as Firmagon most just don’t get shot into your stomach. If you are in Canada then maybe Firmagon is more difficult to get out of. There is no drawback to switching drugs. They all act the same on your body.

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Update: psa is 0.38, a decrease of about 85 % in 1 month. Might not be .1 yet, but I’ll take the win! :). Probably starting zytiga next week. Starting radiation September 17.

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YESSSS !!! Those are great news 😃👍👯‍♀️ !
I am sure that after zapping PSA will be below 0.1 🍀🍀🍀 😃
Wishing you super successful radiation treatment with zero discomfort and complete eradication of cancer cells 💗👍 You are now on top of this - I am so happy for you 😊 Keep us posted !!!

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Profile picture for surftohealth88 @surftohealth88

YESSSS !!! Those are great news 😃👍👯‍♀️ !
I am sure that after zapping PSA will be below 0.1 🍀🍀🍀 😃
Wishing you super successful radiation treatment with zero discomfort and complete eradication of cancer cells 💗👍 You are now on top of this - I am so happy for you 😊 Keep us posted !!!

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Thanks Surfer! When I got the result I thought of you and your husband because he has some of the same “features” I have. Some people say adt doesn’t work as good if you have cribriform and idpc but for me, so far so good. So, maybe some people are wrong?

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Profile picture for johndavis60 @johndavis60

Thanks Surfer! When I got the result I thought of you and your husband because he has some of the same “features” I have. Some people say adt doesn’t work as good if you have cribriform and idpc but for me, so far so good. So, maybe some people are wrong?

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It works for you 😃👍🍀🍀🍀 and that is all that matters 👯‍♀️ !!! PC is notorious in it's "shape shifting" and acting weird and having neither rhyme nor reason, so when something works it is just such relief ☺️. I hope that you are tolerating ADT well 🙂 and I bet you are ready for radiation and eager to get over with it 👍. How many sessions do you have ? 😃

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Profile picture for surftohealth88 @surftohealth88

It works for you 😃👍🍀🍀🍀 and that is all that matters 👯‍♀️ !!! PC is notorious in it's "shape shifting" and acting weird and having neither rhyme nor reason, so when something works it is just such relief ☺️. I hope that you are tolerating ADT well 🙂 and I bet you are ready for radiation and eager to get over with it 👍. How many sessions do you have ? 😃

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38 sessions

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