PSA decreased from 1.4 to .355 in one month after going back on ADT after five month holiday . This time trelstar only; stopped casodex and dutasteride. Had sbrt to two bone nets.
So I’m still castrate sensitive (T = 9.0) after 4 1/2 years of IADT and SRT to mets discovered on each holiday in 2015, 2017 and 2018.
See profile for details. The one major positive seems to be that I have low volume mPCa ( oligomets).
So the question is “should I fix something that ain’t broken” or should I try to drive PSA down to zero? At this point I don’t think I’ll take any more ADT holidays but I can’t help but wonder if the holidays , albeit brief, have prolonged the efficiency of first line ADT?