Is there an indication when prostate cancer is heading for the bone? Is it when there is a PSA rise (doubling, tripling), PSA number etc?
My oncologist says to restart ADT when the PSA is 15 regardless of the doubling time.
Usually my PSA doubles every 3 months but the last 3 months it is tripled.
My concern is that starting ADT (Lupron & Cassodex) at 15 with very rapid PSA rise might mean it is heading for the bone.
Just a note that my Testosterone is actually decreasing whilst the PSA is rising (does this mean anything??).
Thank you so much for your opinions.