PSA after RT and Eligard

[4020jd]

My husband got his psa checked yesterday which is 3 month after RT and 6mo after his Eligard shot. It was .64 from 1.1. His appt with UO is in a few weeks. Since it didn't get to an undetectable level, what would be the next expected step? Do the Drss just wait and see at this stage? He is having off and on significant lows back pain with spasms. He doesn't want to take the another eligard in fear of more bone deterioration. He's already had 1 neck surgery in 2016 for ruptured vertebrae. Your thoughts are appreciated.

[whatsinaname]

I have been on Eligard 45 mg now for about 14 consecutive months. I have never ever got lower back pain with spasms.

[Hidden]

How were his CT and bone scans prior to surgery? Does he have spinal mets? How old is he? Some of us have back problems unrelated to prostate cancer but best get those diagnostic scans.

[4020jd]

Whatsinaname that's good. I'm not sure the eligard caused it. But I've read it can cause bone loss. He's 51. Never had low back pain before. Very active. He can't pin point anything he would had done to cause the back pain. All tests in September were clear. No mets detected at the time. Something odd, not sure it means any, except he's part monkey, he's craving bananas like they are going out of style. And he's never been a fan before. Lacking something. All that aside, since the radiation and eligard didn't bring PSA down to undetectable, what is the protocol, per say?

[j-o-h-n in reply to 4020jd]

"he's craving bananas like they are going out of style."

Hint: Make sure he's peeling them first......

Remember those meds are killing our memory...

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 05/05/2019 9:58 PM DST

[kulch]

I have been on intermittent Eligard for years. When I am on it, the PSA eventually goes down to undetectable, stays there for many months and then starts going up again. When I get to PSA=10, I go back on Eligard and it goes back to undetectable again. However the time period at undetectable shortens after each intermittent cycle. Eventually the PCa will become resistant to Eligard and I will have to move to a different protocol. I have had no problem with done density so far, but I do weight lifting and other weight bearing exercises to maintain bone density.

Each person will respond differently to PCa treatment protocols depending on whether the PCa is aggressive or slow in progression.