Post ADT testosterone: Am I correct in... - Prostate Cancer A...

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Post ADT testosterone

Handdrummer777 profile image
10 Replies

Am I correct in assuming that no T-support -- either directly or "indirectly", i e. herbal etc -- should be used post-ADT of the risk of rising PSA?

I'm feeling grateful that my libido has survived radiation and hormone therapy. So, if the answer is a definitive "no", I'll be OK.

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Handdrummer777
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10 Replies
BerkshireBear profile image
BerkshireBear

Depends on your specifics and how up to date your doctors are. Morgenthaler at Harvard has enlightened research about testosterone. Several good papers on line.

I had IGRT 15 years ago and have been on TRT every day since. PSA stable at <0.2 for years. But we all differ, YMMV.

Find a doctor or clinic which is aware of Morgenthaler's work, ask them to evaluate you.

Handdrummer777 profile image
Handdrummer777 in reply to BerkshireBear

Ok thx very much! Will investigate.

Tall_Allen profile image
Tall_Allen

How long has your PSA been low and stable after finishing ADT? The issue is that T will cause PSA to increase from benign causes, and you won't be able to distinguish a benign rise in PSA from a recurrence. If you can rule out recurrence due to convincingly stable PSAs, TRT should be no problem.

Handdrummer777 profile image
Handdrummer777 in reply to Tall_Allen

Just now finished 18 months of ADT. So that would mean at least waiting for how long a period to determine PSA stability? A year?

In Sept my PSA was <.09.

Tall_Allen profile image
Tall_Allen in reply to Handdrummer777

I have no idea how long it will take for your PSAs to become stable after your T levels have returned.

Handdrummer777 profile image
Handdrummer777 in reply to Tall_Allen

Fair enough; we'll just see how it goes. Thx Tall_Allen

Uxp_d profile image
Uxp_d in reply to Handdrummer777

Hi Handdrummer I would be very happy with your PSA,I am also on ADT and hate it for all the reasons you all know about, my last PSA was 39 and hence the reason for me to be back ,I am in the UK and it would seem that in the US doctors try for a cure,here they try to keep you alive ,as in previous discussions once you have had RT and HIFU and it`s failed, the prospect of being cured is limited ,and the possible side effects bad.

I will sign off with my real initals T.Allen No Tall Allen I`m not a impersonator !

novatimo profile image
novatimo

The docs at Compassionate Oncology in Los Angeles have a protocol for re-introducing testosterone for certain PCa patients. You can check them out to see if it's appropriate for you. compassionateoncology.org/

Handdrummer777 profile image
Handdrummer777 in reply to novatimo

Thank you -- I'll check them out, thx for the link.

Sure is frustrating waiting 4 months for my Xialla! I like how it pulls the scrotum back, revealing more usable shaft length.

TucsonCowboy profile image
TucsonCowboy

When I told I friend who had radiation 2 yrs ago of your posting, here is his response:

"Hello, I have had no T-support either directly or indirectly and that my labido has not survived radiation and hormone therapy."

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