I understand your anxiety. If you’re feeling ill as you describe, you should contact your MD to schedule a Covid 19 test immediately. You will not be admitted for a blood test until it’s known whether you have been infected. You may simply have the flu or another illness. Assuming the worst will only increase your anxiety. Should you be sick for any reason, it’s o.k. to postpone your PSA test for 2-4 weeks. Prostate cancer is slow progressing, so you’re unlikely to see much change in your PSA level in a short period of time. Take confidence in the fact that there are multiple treatment options for prostate cancer and the survivability rate is high.

Hello Mark, I understand your concerns but prostate cancer typically grows very slowly. The fact that you were diagnosed 2 years ago tells me you probably have a lower grade of cancer. Do you mind sharing some of your stats, such as PSA history, Gleason scores or Grade Group of your cancer?

I was diagnosed with stage 3/4 prostate cancer. The disease is outside the prostate, two spots on bones in the hip area, and seminal vesicles. Treatment has been Lupron and soon to start Chemo, waiting for Covid to settle down a little. Anyone have advance stage cancer and have recommendations for treatment and lifestyle. I'm working out , hiking etc, but I notice muscle weakness and soreness all the time.

I, too, am stage 4, with cancer in the bones. Specifically the spine, and spots on the hips, shoulder and sternum. Started with PSA of 541 and immediately started Bicalutamide in February 2019, Lupron in March 2019, 44 radiation treatments starting in July ending in September 2019. We got PSA down to 2.2 at ond time and then it started to rise again getting to 46 or so, PET scan showed the progression to the bones, started Enzalutamide in March 2020, PSA dropped to 20 but then rose again to 30 in May. Bone scan showed no progression in the bones so we will now see where it goes next Thursday.

As for lifestyle changes, I am easily fatigued, I try to walk once or twice every day with a mile being about my maximum range. Hills or upgrades are difficult. I try to stay active in the woodshop. Above all I try to stay positive. This is a long, tiring journey and some days are easier than others. It helps to know others are on the same journey, we are not in it alone.

Wow, you are a warrior. I'm new to all this and much appreciate your view and what you have gone through. Of the medications what do you think helped most other than the Lupron? I had PSA of 30, Lupron took it down to .02 Gleason score of 10 so very aggressive. Chemo is to help get on top of it. Like you never will be Cancer free, but managing it best we can.

We have not gone to chemotherapy yet. Bicalutamide worked in conjunction with Lupron for most of a year. Enzalutamide is very expensive but seems to be working thus far. I started getting Zolodrondric Acid infusions in April to help strengthen bones. It is a monthly infusion so another comes Thursday. It's hard to say one drug is better than another because so much depends on the specifics of each individual case. No two A Like (that's what I call my woodshop projects also). I have great faith and trust in my oncologist and I understand how he makes decisions based on established protocols so I follow his lead.

Hello, I'm new to this group. Over the years my PSA kept climbing. When it got to more than 5 my PCP sent me to a urologist. he was not alarmed and said he'd see me in a year. When that next time to see him came, I switched urologists. By then the PSA was 6.2. The new urologist immediately gave me a blood test for the probability of cancer. It came back as a 65% chance. Then I had the biopsy and 7 of 12 samples were cancerous with a Gleason score of 7 (3+4), advanced intermediate cancer. I opted for CyberKnife radiation at the SE GA Health System. I had 5-35 minute treatments, starting on Monday and ending that Friday. @ yr. 2, PSA 0.2; 3 yr. 0.2. I'm discharged with 1yr. telephone follow-up and yearly PSAs. I have 0 after-effects, as if I never had cancer and never had treatments. We now have a new CyberKnife "machine" that is even more precise and powerful. Today I'd have 4-5 25-minute treatments instead.