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psa returns after 10 years

bald1
Posts: 1
Joined: Feb 2012

after complete removal of prostate nine and half years ago, psa has gone from .01 to .13 - .28 - .82 to 2.0 doctor wants to put me on hormone treatment. just need some input about this kind of treatment and what kind of hormone med. out there. also anyone out there with similer problem. I am currently 79 and i am concerned about potential side affects.

wonderstar
Posts: 7
Joined: Feb 2012

I didn't have RP but I had Radiation Therapy.
Before I had RT, I was on Hormone Therapy(HT).
I was taking Casodex 50mg and shot of Zoladex 10.8 and I am still on HT it has been two years already.
When I was first taking above medicine, I had constant hot flashes and can't sleep well.
Now, it's been two years and body seems to adopt to HT.
It may be different for others but I am okay with HT.

Take care.

hunter49
Posts: 193
Joined: Oct 2011

Sorry to hear the beast came back. Time to knock it on its ass again. Where are you loctaed. there are some great clinical trials for cases like yours. Vurious what was your pre-op PSA , final gleason score and did youhave any margins lymph or seminal vessels comprimised?

Kongo's picture
Kongo
Posts: 1132
Joined: Mar 2010

Bald,

Welcome to the forum and am sorry to read that your PSA is rising after all this time, an indication that prostate cancer is continuing to grow. I think you are prudent to be concerned about potential side effects from hormone therapy and you should have a very frank and candid discussion with your oncologist about this.

Some men tolerate the side effects quite well. Others have reported serious and debilitating side effects. I think your overall health and any other issues that you might have at the tender age of 79 should be balanced with the benefits of hormone treatment.

As you may know, hormone treatment is not considered curative but is effective in curbing the progress of prostate cancer because it blocks the testosterone your body produces from feeding the prostate cancer which depend upon testosterone to thrive. As prostate cancer progresses, the cells eventually evolve to where they produce their own testosterone and hormone therapy ceases to become effective. This process can take several years and depends upon many factors. The side effects from blocking the testosterone include hot flashes, weight gain, loss of libido, among others. These side effects usually pass after the therapy is complete but not always and a small percentage of men continue to suffer side effects after treatment.

I think what you have to weigh at this point is a realistic eval