My father is currently on Lupron and Erleada. So far, his PSA has been decreasing. He gets a 3 month check up at Emory and at another local oncologist (for his Lupron). In Sept., his PSA was 0.3 at LabCorp (local Dr.) and in Dec. (3 weeks ago) it was 0.2. In Sept. at Emory, his PSA was 0.21 and today it was 1.5. The only difference is that he always gets his Lupron AFTER he sees his oncologist at Emory and this time, he got it 3 weeks prior to his visit.
My question is .. can Lupron cause a spike in PSA like that? Is it possible for his PSA to jump up from .2 to 1.5 in 3 weeks when it had a downward trend for 12 months? The ARNP wants him to repeat PSA in 6 weeks and scans in 12 (he’s NMCRPC). What do you all think? I’m freaking out that we’re out of hormonal options at this point.