4+3 RALP in May 2020. Clean margins, no hot lymph-nods. excellent outcome, no ED or incontenance . 18 months later PSA rose to .15 so I did salvage radiation and the PSA was at .006 a few months ago.
Meanwhile I find out I have a free testosterone level of 5 pg/mL
I’ve mentioned the low T my urologist during my last visit, no surprise he’s not interested in feeding the fire… which I get. But low T frankly sucks.
My Endo likes the idea of treating this with Letrozol.
Any thoughts?
Low T - Health Effects 
Sustained bounce + blues (SBRT)
After bicalutimide and a high testosterone level is pre treatment T just guess work?
POMI T may help a lot. Should I keep on to avoid radiation?
