Post RP and SRT journey - oh joy

Hi H,,

It is pretty good as the limit of detection for the two PSA assays that I have used were <0.05 ( Architect Abbott chemiluminescence CMIA ( serum ) and <0.03 Cobas Roche electrochemiluminescence ECLIA sandwich (serum plasma) so you are close to the limit of detection.
Sometimes it does bounce around a bit or take a long time to decline as the last cancer cells drop dead.
You just have to wait and see what it does next! Hopefully it will stay stable, fall below the limit of detection and stay there.

Best wishes,

Georges

Hi H,

I am prepared to give you a 100 % chance of not dying from prostate cancer in five years, even if it went wild tomorrow it would be controllable with ADT for several years, it will take several years to metastase to your vital organs, etc at the quickest. No way, barring a wayward bus, etc, you will be here in five years.
Ten years, pretty much 95%, even if it goes mad in a few years time, we can still hold it back for a long while.
Fifteen years, the crystal ball is a bit misty, check back on that one in 2023 or there abouts, something else might get you first! :-)

Best wishes,

Georges

Cushions,

PSA=0.07 is quite low.  Thresholds for remission after surgery or SRT are at the range of <0.05 ng/ml, but there is no typical values representing something after ADT. Our system never returns to the previous status because of the estrogens that now play a role in our hormonal system. Estrogens substituted the Testosterone in certain functions while we were on castration. Now, even with T back to higher levels there will be always a role plaied by the estrogens. You may check its levels too.

In fact, Estrogens patches are typically used to improve patients status when on ADT.

We never know what is reserved for us in the future. Now is time for celebration instead of worring.

Best,

VG

Hi Cushions,

You just have to try and get over it.
Your numbers are good, you have a very good chance of putting prostate cancer behind you.
Spring is here in northern France and I saw a young lady with a shapely bottom in painted on jeans today and I was in instant randy mode despite twelve months of degarelix.
Off to tickle up the old girl!

Best wishes,

Georges

Cushions,

Let us know your results. I hope they fit your expectations.

Georges,

It is awesome to have a PSA at less than 0.05 ng/ml. Let's hope for continuous similar levels after the Firmagon. I think that your chemical castration is now at its 18 months mile stone. This is a long period so I recommend you to check the functionality of those organs that involve the production of hormones for our systems to work well. The typhoid and the Adrenal glands have been replacing the testis to certain extent. The liver, pancreas and the kidneys in particular could have been affected. Checking the creatinine at 24 hours and an ionogram is good to understand how far Firmagon has affected you, apart from the great benefit in controlling PCa.

ADT in my case assume some responsibility in the CKD case development. I detected its effects from the periodical test results (lipids, image studies and symptoms) I am doing since 2000. Diet influences much any situation.

Best to you both.

VG