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Jeff and all, there are many men who have had long term ADT treatment and whose stories are on the Yana site – the best place to spot them is on the indexes – look at the index by year of diagnosis at http://www.yananow.net/Chart-Year.htm.
Many of the men talk about the side effects, but I doubt that any would not have had ADT (Androgen Deprivation Therapy) because of the side effects.
And of course, you can have intermittent therapy – the path I intend to follow. I had my third Zoladex shot yesterday when my PSA was down to 0.20 ng/ml from 42.0 ng/ml in August before the first shot. I don’t intend to have another shot for some time to see what happens with my PSA.
I am one of the many men who has had no significant side effects from the ADT but I know and sympathise with those men who are knocked around by the therapy.
Check the post here in October by Paul C and following discussion. Paul has indicated in posts at other sites that he enrolled in a trial using Avastin (bevacizumab) in Los Angeles, near his home. His first reports were positive. I have heard no more from him in 2-3 months.
You mention no other issues from the surgeon or pathologist so I assume that the psa cannot be explained by any other mechanism than metastasis.