My ADT treatments (Lupron/Abiraterone/Prednisone) ended on May 02 2023 at which point both my PSA and Testosterone were flat lined.
Here are the results of the four times I have been tested since the end of the ADT.
* Aug 18 2023: PSA is 0.09, Testosterone is 3.3 nmol/l (95.2 ng/dL), Testosterone FREE is 52 pmol/l, Testosterone BIO is 1.26 nmol/l
* Oct 6 2023: PSA is 0.14, Testosterone is 11.3 nmol/l (326.0 ng/dL), Testosterone FREE is 138 pmol/l, Testosterone BIO is 3.49 nmol/l
* Dec 5 2023: PSA is 0.22, Testosterone is 10 nmol/l (288.5 ng/dL), Testosterone FREE is 129 pmol/l, Testosterone BIO is 3.34 nmol/l
* Feb 6 2023: PSA is 0.39, Testosterone is 9.6 nmol/l (277.0 ng/dL), Testosterone FREE is 141 pmol/l, Testosterone BIO is 3.65 nmol/l
The PSA began to come back along with the Testosterone which was expected since I still have a prostate even if it was heavily radiated. So we are monitoring the PSA and if it goes as high as somewhere between 1.0 and 1.5, then we'll do some scans to see if there are spots to irradiate outside of the pelvic area.
What puzzles me most is the Testosterone levels. The recovery seems to have peaked in October but then its gone down on each of the subsequent blood tests. The doc says that maybe its because it is warmer in Summer/Fall than now. For my part, it initially felt like I was slowly and progressively getting more energy after the ADT stopped but I don't feel that my energy levels are as high now as they were in late summer. Think it is seasonal or are my testies not recovering any longer?