At the end of a Lupron break in June my PSA was 1.1 and CT scan showed a new lymph node. I was put on six months of Lupron starting with a month of Casodex. The Casodex brought my PSA down to 0.452. After three months the Lupron brought my PSA down to 0.286. Three months later today, my PSA has slightly increased to 0.321. My T has been <20 during the last 6 months while on Lupron.
I think my MO would recommend do nothing and watch for the next months how PSA does and what another CT scan shows. I am of opinion that I should get another Lupron shot and watch what PSA does during the next 3 months.
What do you think?