Orchiectomy vs Intermittent ADT - Prostate Cancer N...

Prostate Cancer Network

5,231 members3,293 posts

Orchiectomy vs Intermittent ADT

fourputt profile image
13 Replies

Why would a man in his early to mid 70's who has already said bye bye to his sex life due to age, RP and SRT choose (what appears to me) the rollercoaster ride of intermittent ADT vs a simple orchiectomy with the potential of controlled hormone replacement in the future if the opportunity presents itself ? I know this question is somewhat "over simplified" but I hope you can get my drift. I'm not dead set on this but just trying evaluate my options' pros and cons.

Written by
fourputt profile image
fourputt
To view profiles and participate in discussions please or .
Read more about...
13 Replies
Magnus1964 profile image
Magnus1964

First, intermittent ADT is in my opinion, risky. Better to go with continuous ADT.

Next, if you have had SRT and RP, I would not go with an orchiectomy.

fourputt profile image
fourputt in reply toMagnus1964

Thank you

jdfamily profile image
jdfamily in reply toMagnus1964

I am curious also. I had a prosectemy 14 months ago, doing well, but a slow rise in PSA, now .20. Still dealing with ED, desire but no performance. Thoughts on what steps to take if any, I am in mid 70's. Thanks.

Magnus1964 profile image
Magnus1964 in reply tojdfamily

I would think radiation therapy would be the next step. Your PSA is still low but if it continues rise take action. You doctor may prescribe Lupron or another ADT drug before your radiation treatment begin.

Wynnsts profile image
Wynnsts in reply toMagnus1964

Just curious as to your reasons against a orchiectomy after RP and SRT. Thanks in advance for your reasoning!!!

in reply toWynnsts

Am pretty sure that in third world countries the poor guys get an orch right away? Living on high price drugs is a first world issue .

Magnus1964 profile image
Magnus1964 in reply toWynnsts

He is in his mid 70's. I would think having another operation might not be advisable. ADT treatments could provide quality life for a number of years.

Wynnsts profile image
Wynnsts in reply toMagnus1964

Thanks for the return. I understand your thinking and I agree with continuous ADT if one can and does adjust to the side effects, if any. Of course overall health in mid 70’s should be taken into consideration..

Tall_Allen profile image
Tall_Allen

See my response below:

healthunlocked.com/advanced...

fourputt profile image
fourputt in reply toTall_Allen

Thank you

I was myself faced with shots for life supposedly at 53 yrs old . I did the chop after 18 months Lupron . Doc said it was ok . I’m still on a pill adt stopping adrenal production t ?

Wynnsts profile image
Wynnsts in reply to

What, if any, side effects have you experienced with the pill ADT, and if I may ask, what is the pill ADT you are taking. Thanks for your help/info!!

in reply toWynnsts

I’m taking Tak-700 . IMO the side effects are one reason it failed . Sarcopenia nausea and many more . It was bad with Lupron for me . Most men couldn’t take it and dropped off quickly . Not me .Im a glutton for punishment . It as bad with Lupron . It’s a defunct test drug that only a few are still on ..I’m the only one on this cite ever to use it . . It is supposed to stop the adrenal production of t . I’ve had 3 t for over six years . No t is a disability in my broken book .when I was told that would kill me I said “ off with the juevos” ! Doc had me wait 18 months . That was 4 yrs ago . No shots . I’m in osteopenia and my joints are going painfully south . No pc or Psa just living with the after effects of a few yrs of hell early on .

Not what you're looking for?

You may also like...

ORCHIECTOMY OR ADT??

Having side effects from ADT. Hot flashes, no libido, penile shortening. Testicles now shrunk to...
steinmother profile image

Intermittent ADT

I am 72 years old. I am six years out from my RP. I had prostate bed radiation when my PSA began to...
rocketphd profile image

Estrogen vs ADT?

I've read 5 recent papers that discuss the use of estrogen as an alternative treatment to ADT...
janebob99 profile image

SRT vs Intermittent ADT Post-RP PSA recurrence

Age 70, RP on 2/14/19, PSA before surgery 5.3, gleason 4+3=7, extra-capsular ext, vesicles LN and...
jjpeabody profile image

Is Bicalutamide needed after Orchiectomy

Hi, My 73 years old dad has been in remission since last summer. I would like some opinion on the...

Moderation team

Bethishere profile image
BethishereAdministrator
Number6 profile image
Number6Administrator
Darryl profile image
DarrylPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.