Diagnosed wed late 2009 with Gleason 7 (3,4) and treated with concurrent HDT (Lupron) and IGRT. PSA nadir 0.8. I’m also certain that the Lupron treatment produced cognitive impairment as well as weight gain. After 3 years from th IGRT PSA rose to biochemical tecurrence and salvage brachiotherapy was performed. Brachytherapy induced stress incontinence which has slowly but not completely mended. PSA nadir of 1.2. After two years PSA has risen again to biochemical recurrence.
I don’t want to do Lupron again. I’m thinking estradiol patch might be best for me. Waiting for PSA to rise to the 7-10 level before considering any treatment and in the interim interviewing oncologists and trying to keep my blood pressure and testosterone down with spironolactone.