I have recently started ADT after putting it off as long as seemed reasonable. PSA after being low for about 5 years has been increasing and scans and biopsy showed metastatic PC in lymph nodes. I started Degarelix on Nov 13 and Abiraterone about 3 weeks later. Would probably have started later but traveling forced a slightly different schedule than originally planned.
I just got the results of a PSA test done yesterday. It is about 11 compared to the previous one before ADT of about 115. I have read a lot and watched almost all of the Male Care videos. It seems to me that this lowering shows that the PC is currently castrate sensitive. Also from what I sort of think I understand, a TTN (time to nadir) that is short is actually worse than a longer one in terms of time to castrate resistance. Is my PSA of 11 about 1.5 months after starting ADT considered a slow TTN and therefore a good indication? I will see my oncologist on Jan 8 and am sure he will explain the implications of this PSA test.
Any information before that would be appreciated. I have exhausted what I can learn about TTN, it is a very confusing subject with any information I can find deeply hidden in studies and not at all clear.