Hi all
Looking for some more advice.
I am about to complete my radiotherapy treatment tomorrow and my RO has prescribed a further six months of hormone therapy, Tamoxifen and Bicalutamide. My PSA test last week showed that my PSA was undetectable 0.001 and my testosterone at 19.5. I just wondered if the further hormone treatment was usual?
Any help and advice much appreciated.
It depends on what your PSA was before salvage, your PSADT, and post-op pathology.
My PSA was .21 under a year post ralp, my PSA at diagnosis was 5.7, Gleason 7 and T3a tumour with negative margins.
According to the following, adjuvant ADT is unnecessary when pre-SRT PSA is under 0.7. But some guys opt for a short couse anyway because it gives them more confidence. It's up to you
Why only 6 months of casodex? If you do go on casodex stay on it and milk it for all it's worth.
Hubs was advised against hormone therapy. PSA .3 post RALP, PSA 9.2 at diagnosis G7, T3a but he had positive margins. That probably doesn't answer your question.
If your PSA is Undetectable(0.01),why do ADT unless your PSA starts to Rise Up.I did ST.6 months ADT(Firmagon)while doing 40 Radiation Treatments.While the ADT was not that bad except for Hot Flashes starting in the 3rd Month/Weight Gain somewhat.I am undetectable now also,as my last injection was in Feb 2020.Isn't ADT gonna knock down your Testesterone to Zero.Maybe I'm missing something?
Take the advice of your RO, he has an MD after his name. None of those responding above have an MD, just personal experience or reliance on studies for their opinions. They are not medical professionals. Your RO is.
12 months hormone therapy done.
My urologist after RT and ADT
Ultrahypofractional RT and ADT for Int. Risk PC 
post HIFU salvage RT
