ADT questions

[SherpaT]

I received 3 month Eligard shot April 11, pre 28 IMRT, completed May 31. Second 3 month scheduled On July 16. I have some daytime urgency after radiation and pee 3-5 times per night. On 2 tamsulosin. I have had no other symptoms, no hot flashes and no fatigue since radiation. This morning I woke with an erection. I am concerned that the ADT is working properly. I am away from home on an extended trip. Asked my RO by phone and he just said “everyone’s different” and said to stick with upcoming shot (would be last planned) . Any insights appreciated. First PSA not scheduled until October.

[Murk]

Assuming you had a previous Testosterone blood test as a baseline, I would ask for a lab order for a another test now to see if it has dropped. I didn't have Eligard shots but all the ADT types do take a little time and they do vary per individual.

I remember my Doc also telling me that I would be completely turned off with the thought of having Sex. When I said it was deterred but I was still active, he said Congrats, you are one of the 10% of those on ADT (Orgovyx) that remained sexually active.

My Testosterone went from 600 to 10 LOL during my ADT treatment.

So you could be absolutely fine and the ADT is working. The goal here is to get your Testosterone way down to starve the PCa.

[Tall_Allen]

It is very rare that Eligard doesn't lower testosterone. Castration-level testosterone does not mean that you can't get an erection, but it usually means that your libido is so low that you have no sexual desire.