No prostate, biochemical failure, salvage radiation, rising PSA, what's a guy to do?
Zero to 0.1= three months, 0.1 to 0.2= 3 months, 0.2 to 0.4= 3 months, 0.4 to 0.5= 3 months. This is where I am today 0.5.
My medical oncologist says start ADT now as I have no prostate. I'm not sure the logic of this (an the MO had no time to explain it). Maybe all PSA is cancer without prostate gland, whereas with prostate, at least some of PSA is from normal cells?
My radiation oncologist says start ADT sometime after 2.0 as studies say no improvement with OS whether start immediately or waiting. But, he would do imaging at 2.0, if not results, then wait some more. That means developing metastases before starting ADT (I don't like that idea).
Thanks ahead of time,
You know what I am finding difficult to accept (and you all have been through this) is actually taking the ADT "step". Up until now I have been "normal" (even with RP and Radiation and all the shit that comes with it). ADT is change forever.