Recurrent prostate cancer after 7 years

Posted by whatthef @whatthef, Sep 14 9:14am

My doc has suggested short term adt. ..Has anyone used short term ADT therapy. I’m concerned about the side effects.

I’m also considering proton therapy if I’m a candidate . Any thoughts

Thanks all!

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Profile picture for whatthef @whatthef

Like you I’m not a fan of adt… I still have my prostate, and my my original Gleason score was 3+4. Like yours. after the most recent PSMA Pet scan. It appears there are two lymph nodes in the abdomen area. They are lighting up.my oncologist recommended ADT right off the bat I declined. I told him I would like to look at other alternatives so I’m looking at proton therapy. It’s very precise. The side effects are very minimal. Hopefully I’m a candidate for this particular procedure and maybe it’ll get rid of it a cure verses palliative situation. Thanks for your input…..

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Do you have positive margins after prostatectomy?

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I was on six months or Orgovyx pills and I think the side effects were very manageable. Biggest issues were occasional emotional moments, periodic heat induced fatigue and some weight gain (5-8 lbs). I never, to my knowledge, experienced any hot flashes.

For my money, I would go with Orgovyx vs Lupron and other shots. I've heard Orgovyx is just as effective with less side effects than the injected ADT drugs

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Profile picture for jimgaudette @jimgaudette

I had six month Lupron six years ago. minimal side effects and my testosterone returned to normal in three months. Several years later I had three years of Lupron and Abiraterone. The side effects became increasingly severe, but I have had no detectable cancer for four years. I am on intermittent ADT and have been off for one year. My testosterone is returning slowly this time.

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Thank you for your sharing

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Thanks for your thoughts…. Psa 2.82, PSMA CAT scan identified three spots two lymph nodes in the abdomen and pelvis, one each and a spot on my back. The spot on my back is probably false positive very fishy looking. I think the doctor will agree. My intent is to do MDT using proton therapy . More much more precise with little radiation if any to surrounding tissue and organs.

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