Radiation post RP unnecessary unless PCa recurs

[Break60]

See this link:

prostatecancernewstoday.com...?

[Tall_Allen]

Bad/misleading headline. Here's what it actually said:

pcnrv.blogspot.com/2019/09/...

[tango65]

Thanks for posting. It seems one can wait until PSA starts moving up and do RT very early.

[Ahk1 in reply to tango65]

I did SRT at psa of .07 at MSK , 4 years after RP and still failed.

[Break60 in reply to Ahk1]

I did SRT at .3 , nine months after RP ; my profile shows many fails I’ve had. But I’m doing great on estradiol.

[Ahk1 in reply to Break60]

Thanks very much break60. I have been thinking about estrogen patches a lot but never got to try it. Now, today, I am actually thinking of calling my URO and asking him to prescribe it for me. I have an appointment with my MO and if I ask him, I am sure he will never agree to it. what do you think I should ask my Uro for in terms of dosages, type, etc. please? anything else I shoukd ask him to lessen the side effects of the estrogen? Thanks again.

[Break60 in reply to Ahk1]

Show them this link :

ncbi.nlm.nih.gov/pmc/articl...

And google PATCH trial in UK which explains the doses they used . I use the same dosage but prefer the .1 mg estradiol patches changed twice weekly as they are smaller and stay on better. I use Sandoz patches but since estradiol is now generic it doesn’t matter which brand you use and Medicare part D pays for them with diminishing co pays.

Gynecomastia is the only side effect I’ve noticed.

[Ahk1 in reply to Break60]

Thanks again. I have heard on here that some guys use the gel and say it’s better, wondering what your thoughts on using the gel instead of the patches.

[Break60 in reply to Ahk1]

My view is that patches give more precise doses than gels but I used to use testosterone gel before getting PCa and liked it. But controlling T level is so important for stopping the spread of PCa I’d rather be as precise as possible. Plus patches are applied twice a week rather than gel which is applied daily.

It’s totally up to you. I figured if the clinical trial preferred patches so do I.

[Ahk1 in reply to Break60]

I totally see your points and agree. I will go for the patches. Thanks again

[Break60 in reply to Ahk1]

I showed my uro the links I sent you and he approved estradiol; he was familiar with DES ( Estrogen pills) having used it before it was discontinued due to increased CV events but the patches have been proven in the trial to have no more risk than ADT in terms of CV events and have lower risk of osteoporosis.

In fact he said he’s taken all his patients off Lupron and on the patches!